Implant-Based Reconstruction

Breast restoration can also be achieved using implants. The classic approach utilizes a tissue expander, or temporary implant, placed at the time of the mastectomy.  This will allow precise control of the volume of the restored breast while minimizing the likelihood of wound healing problems. Following three weeks of healing, additional volume can be added to the expander. Once the target size is obtained, the tissues are allowed to rest for approximately three months, at which time the expander is removed, and a cohesive, smooth silicone implant is placed.  

A subset of patients are candidates for the direct-to-implant procedure (DTI). These are performed when the vascularity of the skin is optimal. DTI does not guarantee a single-stage procedure but allows for a more comfortable procedure.  

The majority of the implant-based reconstructions we perform are pre-pectoral, meaning the implant sits on top of the muscle.  This eliminates animation deformity and also allows for a more comfortable recovery.

What to expect after an implant-based reconstruction.

These procedures are now often performed as outpatient procedures. Long-acting nerve block using Exparel allows for a comfortable recovery. Drains are routinely used. Compression bras will be provided. Patients should avoid strenuous upper body activities for 4 to 6 weeks.