Breast Implants After Mastectomy

Treatments for mastectomy concerning breast reconstruction are usually the most vital aspects in a survivor's recovery journey from the disease. Immediately following mastectomy, individuals may choose to have implants. This article tries to answer common questions regarding breast implants after mastectomy and how best one can look at them in the making of one's decision.

Can you get breast implants after mastectomy?

Yes, you can have breast implants after a mastectomy. Indeed, breast implants are a commonly used procedure for breast reconstruction following a mastectomy. Returning breast size to the previous volume may also enhance the physical appearance and thereby the image of the body and is recommendable for those who suffered cancer.

How do you choose the right breast implant size after a mastectomy?

Choosing the correct size for a breast implant after mastectomy is an extremely personal decision, depending on:

1. Dimensions of body frame and chest wall
2. The amount of residual breast tissue
3. The size and shape of your breasts desired
4. Your plastic surgeon's recommendation

Your surgeon can help you identify an appropriate implant size that will be in harmony with one's body and not appear abnormal. This is sometimes achieved with sizers during the consultation to give an idea of how the different implant sizes will look.

What is recovery like after getting breast implants following a mastectomy?

Recovery from a mastectomy combined with breast implant surgery typically involves 1-2-day hospitalization and pain, which is managed through prescribed medications used with caution. Patients are generally instructed to avoid movement of the arms and upper body for several weeks while healing properly occurs. The drainage tubes at the incision for an operation will be left in place for 1–2 weeks to allow for excess fluid to drain. Continual postoperative visits with your surgeon are not just to make sure you are recovering properly but to help quell your questions. The initial stages confer discomfort management and prevention of complications.

As rehabilitation progresses, patients are gradually returned to their usual activities, usually within 4-6 weeks following the date of surgery. It may take several months for full recovery, but follow-up with a surgeon afterwards has to be strictly in accordance with recommendations provided by the doctor. It may also involve specific exercises aimed at restoring motion volume and muscle strength, along with recommendations for a gradual return to daily activities and physical exercise. This is a period of patience and self-care, during which the body adjusts to its implants carefully and continues to heal. Follow-up meetings with the medical team enhance recovery and help solve long-term problems.

How long do breast implants last after mastectomy?

Breast implants are not lifetime devices. The average duration for which they may last is 10 to 20 years. Many women have been continuing with the same original implants for more than this period without any difficulty, while others need replacement or removal in a much shorter period. Regular follow-ups with your plastic surgeon will keep a check on your implants.

Potential problems with breast implants after a mastectomy

While the majority of women have uncomplicated outcomes, there are several associated risks and complications:

1. Capsular contracture: scarring that has hardened around an implant
2. Rupture or leakage of the implant
3. Changes in breast sensation
4. Infection
5. Asymmetry
6. Implant displacement
7. Need for additional surgeries

For these reasons, it is essential to discuss these possible complications with your surgeon before deciding to get breast implants.

Are breast implants after a mastectomy covered by insurance?

In the United States, the Women’s Health and Cancer Rights Act of 1998 requires most insurance plans that pay for mastectomies to also pay for breast reconstruction, including those that use implants. Health care reforms in this law will help women have the best services after being treated for breast cancer. However, there can be a lot of surprises in terms of the specifics of coverage offered by the insurance plan with the help of the insurance company and even with the help of the identical insurance company but at different times. Therefore, before approving a surgery operation, the patient must thoroughly investigate the insurance policy. Specific important details include whether the provider listed is in or out of network because the out-of-pocket may significantly differ, and whether there are any deductibles and co-pays applicable for the specific service.

Additionally, patients should ask whether their insurance plan provides for other reconstructive procedures or complications arising after reconstruction. Some insurance companies may restrict access to a specific number of surgeries or impose specific terms and conditions on additional surgeries. For this reason, it is always better to seek additional information in writing from the insurance company. This should include a review of the insurance coverage for every stage of the reconstruction surgery, from the actual surgery to the post-operative care. Before proceeding with the plan, the patient should clarify any doubts or contradictions regarding insurance or their treatment plan with their insurance carrier, clinicians, and providers, respectively.

Are breast implants safe after a mastectomy?

The constructive use of the breast implant following a mastectomy is usually considered safe. The FDA has approved saline and silicone implants for such procedures. However, state the obvious or it is surgery, and there are potential risks. Your surgeon should discuss these with you and help weigh benefits against any complications that may occur.

What is the average cost of breast implants after a mastectomy?

The cost of a breast implant after mastectomy will have very big variations, depending on certain key elements. First among such factors is the geographic location or the region of residence: the greater metropolitan areas, usually with a higher cost of living, tend to have more expensive procedures. It also depends on the surgeon conducting the procedure, as highly experienced and reputable professionals typically charge higher fees. Another large determinant is the type of implant used or silicone implants cost more than saline implants, and newer, more high-tech ones may have additional costs. Individual differences in anatomy, surgical challenge and the extent to which reconstructive needs have to be covered can also affect the extent of the surgery and, thus, its cost. Without insurance, the procedure can cost from $5,000 to $15,000 or more, although, as discussed above, insurance generally covers it when it is included in post-mastectomy reconstruction.

What are the alternatives to breast implants after a mastectomy?

While breast implants are popular, they are not the only option for breast reconstruction. Options include the following:

1. Autologous tissue reconstruction: This technique involves using one's own body tissue, typically from the abdomen, back, or buttocks, to create a breast mound.
2. Fat Grafting: It involves the transfer of fat from other parts of your body into the area of the breast.
3. External prostheses: wearing a breast form in your bra
4. "Going flat": The act of not having reconstruction and being content with a flat chest

Take Action Today

This decision is entirely up to you, and it is completely personal. If you are considering breast implants or if you are looking into other breast reconstruction options, we invite you to schedule a consultation with one of our board-certified plastic surgeons at Icon Cosmetic Center to help you decide what may be best for you after your mastectomy and your post-mastectomy journey. If you are interested in learning more about the transformative procedure or scheduling a consultation, please contact us today to make an appointment.