How Long After Chemotherapy Until You Can Put in the Permanent Implants?

Question

How long after chemo generally can you swap out the expanders for permanent implants? To give you more detail. I had a double mastectomy in April and am currently undergoing chemotherapy. I have 4 rounds of Adriamycin and Cytoxin every other week and then 4 rounds of Taxol every other week. I am due to finish chemo in mid-September. I know the swap cannot happen right away - generally speaking when would be the earliest? Also, do you know when I can have the port removed that I had implanted to aid with the administration of the chemo?

Lewis Albert Andres, MD · Answer

Hello!  Thank you for your question!  Typically after completion of chemotherapy, there is a waiting period of at least 4 weeks in order to allow your body to recover after the chemotherapy.  This increases your immune system and will significantly decrease your complication rate such as wound healing issues, infections, etc.  Having your tissue expanders in for a longer period will not harm you nor affect your overall results.  It is fine to keep them in until you are ready to proceed.  In terms of your port, discuss the need with your oncologist.  If it is no longer needed, your plastic surgeon may be able to remove at the time of your second stage procedure for implants, if s/he is willing and able.  Best wishes for a wonderful result!

James N. Romanelli, MD, FACS · Answer

Remember: every patient is different, so don't take this as a precise prescription for your situation. In general, we exchange the tissue expander for permanent implants between 3 to 6 months after the completion of chemotherapy and/or radiation therapy. Your plastic surgeon can evaluate the quality of the skin to determine the right timing for your body.

	After chemotherapy, both your blood counts and your body's ability to fight infection may be affected. For that reason, we recommend a few months between the last dose of chemotherapy and implant exchange. Discuss the port with your medical oncologist. Some do not want the port removed until at least a year following diagnosis and treatment. Although removing the port at the time of implant exchange can technically be done, it is not always recommended.

Darryl J. Blinski, MD · Answer

Really based upon your blood counts (WBC) and the decision of the PS and Oncologist. In most instances the wait is 6 weeks to 3 months.

	Best of Luck from MIAMI Dr. B

C. Bob Basu, MD, MPH, FACS · Answer

It is important to have your oncologist give you the green light to proceed.  Your oncologist will tell you if your cell counts have normalized (ie healing potential).    Generally, it has been my experience that waiting > 4-6 weeks after chemotherapy is ideal.  However, every patient is different.   In addition, wrpt your portacath removal...again, you need to get the green light from your oncologist as well. 

	You are almost there to the finish line with chemotherapy.   hang in there.

Steven Wallach, MD · Answer

The problem with chemotherapy is that it can delay wound healing. Intervals between cycles can be used to time surgery. Usually you can do this at the 3 week point if you are on 6 week cycles. If not you may want to wait until you are done with chemo.

How Long After Chemotherapy Until You Can Put in the Permanent Implants?

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How Long After Chemotherapy Until You Can Put in the Permanent Implants?

Answers (6)

Answer: Timing for Implant Exchange after Chemotherapy

Answer: Timing for Implant Exchange after Chemotherapy

Answer: Chemotherapy and implant placement

Answer: Chemotherapy and implant placement

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