Breast implants generally not recommended for irradiated breasts

Dean Fardo, MD answers: Breast implants after lumpectomy and radiation?

Do you recommend breast implants after a lumpectomy and radiation? If so, what type of implants and what are the pros and cons of this type of surgery? I had the lumpectomy/radiation a year ago. My breast tissue is soft and most of the discoloration is gone. Are there studies I can read? Thank you.


Dean Fardo, MD
1 month ago

Generally, implants are not recommended in an irradiated breast. The rate of complications and contracture is much higher. It does not mean that it can never be done, but you must be informed of the risks and alternatives.

In some cases, there may be better options, such as a local tissue rearrangement or the use of autogenous tissue.

Best to discuss all of these with your plastic surgeon.

Helpful?

A: Implants and Breast Radiation

John Philip Connors III, MD
20 days ago

Wow...Healer, you have recieved some fantastic advice here, isn't www.realself.com a great outlet and resource for you! (FYI, I do not work for them, but think this is a great site).

I generally do not recommend breats implant after breast irradiation. The plastic surgery literature documents a higher rate of complications and I have seen a number of patients in my office from other surgeons who have received implants in the irradiated breast.  However, not all 2 patients are alike and every patient comes with individual needs, wants, goals and expectations. We as scientific, evidence based surgeons use the peer-reviewed literature as practice guides for standardizing care. I would recommend you see a Board Certified Plastic and Reconstructive surgeon (www.plasticsurgery.org) who can evaluate your individual case and make appropriate recommendations!

Good luck!

Dr. C

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