Complications of Implant based Breast Reconstruction

Breast reconstruction is a surgical procedure that aims to restore the shape, volume, and symmetry of the breasts after a mastectomy.

One of the most common techniques used in breast reconstruction is implant-based reconstruction, which involves the use of silicone or saline implants to create a new breast mound. While this technique is generally safe and effective, like any surgical procedure, it is not without its risks and complications. In this blog post, we will discuss some of the most common complications associated with implant-based breast reconstruction, along with their percentages. 

1. Capsular contracture 

Capsular contracture is the most common complication associated with implant-based breast reconstruction. It occurs when the scar tissue around the implant becomes thick and tight, causing the breast to feel hard and distorted. The incidence of capsular contracture ranges from 5% to 10%, depending on the type of implant used and the surgical technique employed. 

2. Implant rupture 

Implant rupture is another potential complication of implant-based breast reconstruction. It can occur due to trauma, overfilling, or manufacturing defects. The incidence of implant rupture varies depending on the type of implant used, with silicone implants having a higher risk of rupture than saline implants. The overall incidence of implant rupture ranges from 1% to 3%. 

3. Infection 

Infection is a rare but serious complication of implant-based breast reconstruction. It can occur at any time after surgery and may require the removal of the implant. The incidence of infection ranges from 1% to 3%. 

4. Bleeding 

Bleeding is a common complication of any surgical procedure, including implant-based breast reconstruction. It can occur during surgery or in the postoperative period. The incidence of bleeding ranges from less than 1% to 3%. 

5. Seroma 

Seroma is the accumulation of fluid in the surgical site, which can cause discomfort and delay the healing process. It occurs in approximately 5% to 10% of patients who undergo implant-based breast reconstruction. 

6. Delayed wound healing 

Delayed wound healing is a rare complication of implant-based breast reconstruction. It can occur due to a variety of factors, such as poor blood supply, infection, or excessive tension on the wound. The incidence of delayed wound healing ranges from less than 1% to 2%. 

In conclusion, while implant-based breast reconstruction is generally safe and effective, it is not without its risks and complications. Patients should discuss the potential risks and benefits of this procedure with their surgeon before making a decision. By understanding the potential complications, patients can make an informed decision about their breast reconstruction options.

Book an appointment to speak to Dr Namal about implant based breast reconstruction

Dr Namal Munasinghe is a fully accredited, Melbourne Based Plastic Surgeon