Thank you for your question. I understand your desire to use implants for your breast reconstruction since this tends to be a more straightforward method than autologous tissue transfer. However, even if you wait a year or longer after your radiation treatment to undergo your breast reconstruction, you could still be exposing yourself to risks not typically seen with implant surgery. Radiation changes the breast tissue permanently, stripping it of its elasticity necessary for a good cosmetic result with implants. The changes to the tissue also significantly increase a patient’s risk for a painful, sometimes disfiguring complication known as capsular contracture. That said, there are some patients who may be candidates for implants after radiation treatment, depending on the amount of breast skin and tissue left behind. An experienced, credentialed Specialist Plastic Surgeon should be able to assess your personal situation to determine whether implants are a viable option for you. Good luck! - Edmund Ek, MBBS