Implant Based Reconstruction

Implant-based reconstruction offers a popular and effective option for breast cancer patients seeking to restore their breast shape after mastectomy. At Specialized Plastic Surgery, our plastic surgeons provide advanced, personalized implant-based reconstruction to help patients feel confident and whole. Using state-of-the-art implants and refined techniques, this approach provides a quicker recovery time and less invasive procedure compared to natural tissue reconstruction, making it an appealing option for many women. Our plastic surgeons work closely with each patient to determine the ideal implant type, size, and shape to achieve a balanced, natural result.

Implant Based Reconstruction

What is Implant Based Reconstruction?

Implant-based reconstruction is a type of breast reconstruction that involves placing an implant beneath the chest muscle or just above it, recreating the shape and appearance of the breast after mastectomy. This approach often involves a two-stage process: first, a temporary tissue expander is placed to gradually stretch the skin and make space for the permanent implant; then, in a second procedure, the tissue expander is removed, and the permanent implant is inserted.

There are two main types of implants used in reconstruction:

Saline Implants: Filled with sterile salt water, saline implants can provide a natural shape but may feel firmer than silicone.
Silicone Implants: Filled with silicone gel, these implants are softer and tend to provide a more natural look and feel. They are also available in a variety of shapes to suit each patient’s aesthetic goals.

Why Choose Implant Based Reconstruction?

Implant-based reconstruction offers several benefits that make it a popular choice for many breast cancer patients. This option typically involves a shorter, less complex surgery and a faster recovery period than natural tissue flap reconstruction. It also allows patients with limited donor tissue – such as those with a leaner body type – to achieve natural-looking results.

Key advantages of Implant-Based Reconstruction include:

Shorter Recovery Time

The procedure is generally less invasive than flap reconstructions, leading to a faster healing process and quicker return to daily activities.

Minimally Invasive

Since this approach does not involve harvesting tissue from another part of the body, it avoids additional surgical sites, reducing overall trauma and the need for a lengthy recovery.

Versatility and Customization

A range of implant sizes, shapes, and profiles allows for a highly customizable result, making it easier to match the patient’s body frame and desired look.

Implant Based Reconstruction

Who is a Good Candidate for Implant Based Reconstruction?

Ideal candidates for implant-based reconstruction include:

Breast cancer patients who have undergone or plan to undergo a mastectomy
Individuals with enough skin and muscle to support an implant, or those who are willing to undergo a tissue expansion process
Patients who prefer a shorter recovery time and a less invasive surgery
Women with a leaner body type, who may not have sufficient donor tissue for a natural tissue flap reconstruction
Those without a history of radiation therapy, as radiation can sometimes impact implant results and lead to complications such as capsular contracture

It is important to consult with an experienced surgeon to discuss all options, as they will help determine the best course of action based on the patient’s unique medical history, anatomy, and preferences.

Advanced Techniques in Implant Based Reconstruction

At Specialized Plastic Surgery, our plastic surgeons use the latest techniques to achieve optimal results with implant-based reconstruction. Common approaches include:

Direct-to-Implant Reconstruction: In some cases, patients can skip the tissue expander step and proceed directly to a permanent implant, allowing for immediate reconstruction at the time of mastectomy.
Two-Stage Reconstruction: The more traditional method involves placing a temporary tissue expander beneath the skin and chest muscle. Over several weeks, the expander is gradually filled with saline to stretch the skin and muscle, preparing for the placement of the final implant in a second procedure.
Pectoral Implant Placement: Instead of placing the implant under the chest muscle, it can be positioned on top, reducing discomfort and distortion caused by the muscle movement. This newer approach, when appropriate, can lead to a more natural look and feel with a quicker recovery time.

Implant-based reconstruction typically takes 1-2 hours per breast and is performed under general anesthesia. The process begins with placing a tissue expander or, in some cases, direct-to-implant procedure. Once the tissue has adequately expanded (if necessary), the final implant is placed in a secondary procedure.

Patients may choose between saline or silicone implants, each offering specific benefits. Our plastic surgeons help our patients select the type that best aligns with their desired outcome, body type, and lifestyle.

The prepectoral (above-the-muscle) approach is an option for many patients and can reduce recovery time and post-operative discomfort. Our plastic surgeons provide guidance on the best technique for each patient, ensuring that all decisions align with both aesthetic goals and long-term satisfaction.

Recovery after implant-based reconstruction is generally smoother and shorter than with natural tissue reconstruction. Patients can expect an initial healing period of 2-3 weeks, with minor restrictions on lifting and strenuous activity for several more weeks. Our team provides personalized post-operative instructions and regular follow-ups to ensure the best outcomes.

While mild swelling and discomfort are normal, the team at Specialized Plastic Surgery is dedicated to helping patients manage pain and discomfort through personalized aftercare support. Routine follow-ups are scheduled to monitor the healing process and ensure that implants settle naturally.

Seeing real results is a powerful part of making an informed decision. Visit our Before and After Gallery to see real transformations from implant-based reconstruction. Our dedication to symmetry and aesthetics is evident in our patient results, which reflect both a natural shape and contour.

Implant Based Reconstruction

Schedule a Implant Based Reconstruction Consultation Today

If you’re considering implant-based reconstruction in New York or New Jersey, schedule a consultation with Specialized Plastic Surgery. Our compassionate team is ready to support you in exploring your options, understanding the process, and choosing the best approach for your reconstruction journey. Call us today or fill out our online form to set up your personalized consultation.

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Implant Based Reconstruction

Why Choose Specialized Plastic Surgery?

Choosing Specialized Plastic Surgery means opting for experience, precision, and patient-centered care. Our plastic surgeons combine technical expertise with an eye for detail, helping breast cancer patients achieve results that restore their sense of wholeness and well-being.

Implant Based Reconstruction

Direct to Implant

In select patients, a direct to implant breast reconstruction allows for a mastectomy and implant placement to be performed in a single operation, without the need for placing a tissue expander.

Expander Implant

The most common method of breast reconstruction currently performed in the United States uses tissue expanders and breast implants placed in a staged fashion.

Aesthetic Flat Closure

This is an ideal choice for women not interested in a formal breast reconstruction to improve their appearance of the chest wall.