loading
Correcting Implant Breast Reconstruction Complications with Autologous Flaps PRMA Plastic Surgery

Correcting Implant Breast Reconstruction Complications with Autologous Flaps

Correcting Implant Breast Reconstruction Complications with Autologous Flaps PRMA Plastic Surgery

How can failed implant reconstruction be corrected without sacrificing the nipple?

Patients with breast cancer have many options when it comes to breast reconstruction. Many patients are also candidates for nipple-sparing mastectomy (NSM). The most common reconstructive procedure offered to NSM patients is tissue expander/implant reconstruction.

Implants can be a great option for many women, but can also be associated with a higher risk of complications (especially when radiation is in the mix). Frequently, implant related complications will require further surgery and the removal of the implant. When this occurs for NSM patients, there is also the potential of losing the nipple due to the additional surgery. Luckily, there are options to correct implant reconstruction complications that provide good cosmetic results without sacrificing the nipple!

A study published in the Aesthetic Surgery Journal followed 213 patients who underwent either direct-to-implant or tissue expander to permanent implant breast reconstruction after nipple-sparing mastectomies. The overall complication rate was 15.2%. Of the 58 patients who experience complications, 33 required additional surgery to remove the implants. The majority of the patients who required implant removal went on to have further reconstruction. About 30% of the patients chose to proceed with implant reconstruction again and 70% underwent autologous flap reconstruction. Regardless of the procedure performed, there was only a 2.1% chance of nipple loss due to the additional surgery.

This study proves additional breast reconstruction surgery following the removal of implants is safe and does not significantly increase the risk of nipple loss for NSM patients.

At PRMA, we see many patients who have ongoing issues related to implant reconstruction. Complications include capsular contracture, significant breast asymmetry, chronic pain and infection. Like majority of the patients in the above study, we typically recommend removal of the implant and surrounding scar tissue, and further reconstruction using the patient’s own tissue if possible. Procedures like the DIEP flap allow us to recreate a “natural”, soft, warm breast without the use of implants. Sensory nerve reconstruction can also be performed during DIEP flap surgery to help restore breast feeling.

The surgeons of PRMA specialize in correcting failed implant reconstruction. If you are unhappy with your implant reconstruction, or have had ongoing problems with your implants and would like to learn more about your options, please fill out our free virtual consultation form today!

Author: Dr. Minas Chrysopoulo and Courtney Floyd

Salvage_of_Implant-Based_Breast_Reconstruction_in_Nipple-Sparing_Mastectomies_With_Autologous_Flaps

This study proves additional breast reconstruction surgery following the removal of implants is safe and does not significantly increase the risk of nipple loss for nipple sparing mastectomy patients.

Sign Up for Our Monthly Newsletter

Online Form – Newsletter Signup

Continue Reading

Breast Reconstruction Surgery and Your Period

Breast Reconstruction Surgery and Your Period

Breast Reconstruction Surgery and Your Period December 02, 2020 Share on Facebook Twitter Linkedin During our pre-operative appointment with patients, a topic that occasionally arises is menstrual cycles.  It is completely normal for women to experience changes with their periods throughout breast cancer treatments.  These can be temporary or permanent.  Periods can be unpredictable following […]

Read More

What Bras and Abdominal Girdles to Wear After Breast Reconstruction Surgery

What Bras and Abdominal Girdles to Wear After Breast Reconstruction Surgery November 17, 2020 Share on Facebook Twitter Linkedin When preparing for breast reconstruction surgery, many patients want to know what types of bras and abdominal girdles they should plan to wear after surgery. Although every surgeon has slightly different preferences, we have put together […]

Read More

My 5 DIEP Flap Realities | A Guest Blog From Julie

My 5 DIEP Flap Realities October 28, 2020 Share on Facebook Twitter Linkedin Hi everyone, my name is Julie from It’s a Bosom Thing. I am so happy to be here as a guest blogger and have this opportunity to share with you a few thoughts about life after DIEP Flap Surgery. I was diagnosed […]

Read More

bra day 2020

PRMA’s BRA Day Virtual Event Recap

PRMA’s BRA Day Virtual Event Recap September 08, 2020 Share on Facebook Twitter Linkedin Yesterday we celebrated Breast Reconstruction Awareness day! Although we missed seeing everyone in person this year, we were still able to spread education and awareness on ALL reconstructive options through our virtual efforts.  We were also able to share information on […]

Read More

Second Stage DIEP Flap Surgery

Second Stage DIEP Flap Surgery

Second Stage DIEP Flap Surgery September 08, 2020 Share on Facebook Twitter Linkedin DIEP flap breast reconstruction is typically comprised of at least two stages for the best outcomes.  The second stage of surgery is commonly referred to as the “revision” stage and is usually performed about three months after the initial reconstruction.  The purpose […]

Read More

flaps good option for breast reconstruction_ PRMA Plastic Surgery

If ‘Flaps’ Are Such A Great Breast Reconstruction Option, Why Doesn’t Everyone Get Them?

If ‘Flaps’ Are Such A Great Breast Reconstruction Option, Why Doesn’t Everyone Get Them? September 08, 2020 Share on Facebook Twitter Linkedin Flap-based breast reconstruction procedures, like the DIEP flap, offer patients a safe, natural implant-alternative option to reconstruction after a mastectomy.  Flap surgeries are permanent and are associated with fewer complications after radiation when […]

Read More

Skin Island in Breast Reconstruction _ PRMA Plastic Surgery

What is a Skin Island and How is it Used in Breast Reconstruction?

What is a Skin Island and How is it Used in Breast Reconstruction? September 08, 2020 Share on Facebook Twitter Linkedin What is a “skin island”? The term “skin island” is used to describe the remaining visible skin from a transplanted “flap” of tissue. In the setting of DIEP flap breast reconstruction, the skin island […]

Read More

comparing apex and diep flap

Comparing APEX Flap and DIEP Flap Breast Reconstruction

Comparing APEX Flap and DIEP Flap Breast Reconstruction August 10, 2020 Share on Facebook Twitter Linkedin We have been receiving numerous inquiries about the “APEX flap” recently.  Patients want to know what it is and how it differs from the DIEP flap. APEX is an acronym that stands for “Abdominal Perforator Exchange”.  Many patients believe […]

Read More

Monitoring the Health of Your Flap During & After Surgery PRMA Plastic Surgery

Monitoring the Health of Your Flap During & After Surgery

​Monitoring the Health of Your Flap During & After Surgery July 21, 2020 Share on Facebook Twitter Linkedin Autologous flap (or tissue) breast reconstruction procedures represent today’s most advanced options for rebuilding a breast(s) following mastectomy. The most commonly performed method of flap-based reconstruction at PRMA is the DIEP flap. During this procedure, surgeons transplant skin […]

Read More

COVID-19 and the Impact on Cancer Patient’s Mortality PRMA Plastic Surgery

​COVID-19 and the Impact on Cancer Patient’s Mortality

​COVID-19 and the Impact on Cancer Patient’s Mortality July 21, 2020 Share on Facebook Twitter Linkedin There is still so much we do not know about COVID-19. Likewise, there is little known about how this disease impacts mortality for cancer patients. A study published in The Lancet evaluated and characterized the outcomes of patients with cancer […]

Read More

post-img
Prev post

​Tips for a Successful Breast Reconstruction Consultation

Next post

New Therapy Could Improve Breast Reconstruction Results After Radiation

post-img
Subscribe Newsletter