What are the potential risks and complications of breast reconstruction?

Breast reconstruction surgery using implants has some inherent risks, including:

  • Infection around the implant
  • Capsular contracture
  • Implant rupture or failure
  • Leakage of the implant's contents into the surrounding tissues
  • Asymmetry of the breasts
  • Lumps in local lymph node tissue formed by leaking silicone
  • Movement of the implants from their original position
  • Further surgery to treat complications

Breast reconstruction surgery using flaps also has some inherent risks these include:

  • A clot in the blood vessels to the reconstructed breast. With modern microsurgical techniques this is rare, but should it occur, it can result in the flap tissue dying.
  • Small areas of hardness may develop in the new breast. These are a result of poor blood supply to the fat cells. This is called fat necrosis.
  • Fluid collection, which is called a seroma, under the new breast or where the flap was taken
  • Should you not be a candidate for a DIEP and have a TRAM flap, there is a risk of weakened abdominal muscles, which can result in a hernia.
  • Difference in size and shape between the natural and reconstructed breasts

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Because I've got all my systems sorted, I've got a near 0% failure rate for breast reconstruction

Dr Pouria Moradi

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