Breast Reconstruction With Implants

Reconstruction with an implant is a quick and easy surgical procedure, it provides a quick recovery time. Two-stage repair options are available with the use of a single-stage or tissue expander. However, its significant disadvantages are that it is less natural in appearance and feel, prosthetic replacement due to capsule contracture and rupture, lack of radiation resistance, and non-permanent. Also, the average life of the prosthesis is stated as 10 years. In addition, due to the aesthetic concerns of the patient, it may be necessary to undergo repeated operations with serial fat applications.

Implant-based reconstruction accounts for 80% of all breast reconstructions performed according to US data. Almost all breast reconstructions with implants are performed with silicone-containing breast prostheses. The operation can be performed in two stages or one stage; there is a wide range of surgical technical differences, such as the type, size of the prosthesis used, the use of an acellular dermal matrix, or titanium mesh to support the lower part. The generally accepted and most commonly used technique is the reconstruction that is placed in the muscular plan and gradually inflated, which is removed after 6-8 weeks and performed with a permanent breast prosthesis. Recently, reconstruction using a permanent prosthesis at a time in appropriate cases has also come to the fore, especially in patients with a protective mastectomy.