Before and after delayed implant reconstruction in a 42 year old woman who previously had nipple-sparing mastectomies and failed implant reconstruction requiring removal of both implants.
Her right side had previously undergone radiation therapy and she had completely recovered from chemotherapy. She did not have a significant amount of fat for a DIEP flap or TUG flap reconstruction, and she wished to give implant reconstruction another try.
Follow up images are shown 4 months after delayed insertion of full-size smooth round silicone gel implants placed in the subglandular position (also called “pre-pectoral” position). Note that her right radiated side is higher and the nipple and areola is lighter in color – both are due to past radiation.
She has returned to her life and has not had any additional complications. Radiation is often an indication for a flap reconstruction, but in many cases an implant can be used successfully. The patient understands that she will always be at higher risk of complications such as infection and capsular contracture on the right radiated side.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
