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Implant only

Implant based breast reconstruction

Autologous breast reconstruction

Following a mastectomy an implant is placed underneath the skin of the chest. The implant is situated so that a layer of muscle covers the majority of it, giving it added protection.

The advantages of this technique are the speed of the surgery, short hospital stay and recovery. For those with droopy breast it can be difficult to obtain good symmetry and they may require a lift of the other breast to gain the best match. For those needing a mastectomy to both breasts, symmetry can be excellent. For those who have had, or are going to undergo radiotherapy treatment, this form of reconstruction is usually not recommended as the risks of complications are increased.

Further information

Anaesthetic

The operation is performed under general anaesthesia. The operation takes 2-3 hours

Length of stay

1-2 nights following the operation.

Risks/Possible complications

Early (1-2 days):

Frequent
  • Bruising
  • Swelling
  • Discomfort
Infrequent
  • Bleeding (haematoma)
  • Infection
  • Wound breakdown
  • Necrosis of the mastectomy skin flaps

Later (after one week):

Frequent
  • Reduced or no sensation of reconstructed breast
Infrequent
  • Scars - breast may be unsightly, lumpy, stretch
  • Seroma
  • Capsule formation
  • Rippling of implant
  • Implant leak or rupture
General anaesthetic
  • Deep vein thrombosis
  • Chest infection
  • Allergic reaction to drugs or tape

Recovery

Immediately after the operation
  • You will feel bruised and sore and there will be some swelling
  • Pain is usually moderate and controlled with standard painkillers
  • There will be drains in the chest that will be removed 2-3 days later
  • You will out of bed the next day and mobilise
After return home
  • Socialising with friends 1-2 weeks
  • Return to work at 4 weeks
  • Driving at 4 weeks
  • Swelling and bruising 6-8 weeks
  • Return gym and strenuous activity after 2 months
  • Final result at 4 months

Permanence of results

Permanent, unless a capsule develops around the implant. The implants will need to be changed at 10 - 15 years.