Timing[ edit ] The primary part of the procedure can often be carried out immediately following the mastectomy. As with many other surgeries, patients with significant medical comorbidities high blood pressure , obesity , diabetes and smokers are higher-risk candidates. Surgeons may choose to perform delayed reconstruction to decrease this risk. There is little evidence available from randomised studies to favour immediate or delayed reconstruction. Patients expected to receive radiation therapy as part of their adjuvant treatment are also commonly considered for delayed autologous reconstruction due to significantly higher complication rates with tissue expander-implant techniques in those patients. Waiting for six months to a year following may decrease the risk of complications, but this risk will always be higher in patients who have received radiation therapy.
Breast Reconstruction Surgery
Breast Cancer Reconstruction on Long Island, New York - An Overview
United Kingdom Independent Expert Advisory Group IEAG There was no evidence of an increased risk of connective-tissue disease in patients who had undergone silicone-gel breast implant emplacement, and no cause for changing either breast implant practice or policy in the U. Institute of Medicine IOM  There was "insufficient evidence for an association of silicone gel- or saline-filled breast implants with defined connective tissue disease. There is no scientific evidence for the existence of silicone allergy, silicone poisoning, atypical silicone diseases or a new silicone disease. EQUAM continues to believe that there is no scientific evidence that silicone allergy, silicone intoxication, atypical disease or a 'new silicone disease' exists. The follow-up report, Natrelle Saline-filled Breast Implants: When a silicone breast implant ruptures it usually does not deflate, yet the filler gel does leak from it, which can migrate to the implant pocket; therefore, an intracapsular rupture in-capsule leak can become an extracapsular rupture out-of-capsule leak , and each occurrence is resolved by explantation.
Is Breast Reconstruction Right for You?
Aetna considers the body lift perforator flap technique for breast reconstruction experimental and investigational because there is insufficient evidence to support the effectiveness of this approach. Aetna considers the use of the following acellular dermal matrices medically necessary for breast reconstruction: Alloderm LifeCell Corp.
F Pectoralis major muscle G Other muscles of the chest wall If you have an expander put in and there is any chance you will have radiation therapy, be sure your surgeon uses an expander with a plastic port, not a metal one. A metal port interacts with the radiation right around the metal and produces excessive, unnecessary skin damage. If you already have an expander with a metal port, ask the plastic surgeon about possibilities that include: This may allow more liquid to be added to the expander during surgery, which may lower the number of times more liquid has to be added later. Dermal matrix products are skin substitutes made from human, calf, or pig skin that has been processed and sterilized to remove all cells, which reduces the risk of disease and of your body rejecting it.