Breast reconstruction

The reconstructive options after Lumpectomy and radiation are good.  The post effects of radiation is different on everyone.  There are options like tissue expansion first if the breast is tight and shrunken, followed by a permanent implant.  Good luck!

Here is a layman and succint explanation of the issues:

http://breastreconstruction.org/ReconstructionOverview/RadiationandReconstruction.html

However, in summary, there are an increased risk of complications. Generally most surgeons prefer to use your own vascularized tissues .

Breast preservation through lumpectomy and radiation treatment affords the best appearance and is far better than an effort to reconstruct after mastectomy. The effect of radiation will produce some shrinkage of the breast and produce some breast asymmetry. The radiation does not affect all patients equally and for some the breast can become quite stiff, or there may seem to be little effect as the breast will remain smooth and soft. We do have patients who seek implants to restore volume, and correct breast asymmetry after lumpectomy and radiation. I did a simple Google and was able to find information available to you, and you can also explore through your bookstore or local breast center. Generally after radiation there is a much higher rate of capsule contracture and firmness of the breast. We have had better success with form stable implants also called the 'gummy-bear' implant in reconstruction, or in the case of augmenting the breast which has been irradiated. With certain limits it can work, and each situation is unique. Though many surgeons may be less than enthusiastic you should take your time to read, consult ,and learn, as an implant could be an option.

Best of luck,

peterejohnsonmd