Breast Reconstruction with Implants

  • BBSG – Brazilian Breast Study Group


The aim of breast reconstruction is to create a new breast that is symmetrical to the contralateral breast, allowing for a reduction of the psychological trauma and the psychosocial consequences related to the mastectomy. There is no ideal technique, but it is expected to be effective, fast-performing, with few complications and revisions, and reproducible in different sociocultural realities. It is within this context that breast reconstruction with prostheses and expanders (RP/E) fits.


Breast reconstruction Breast implants Direct-to-implant reconstruction Two-stage reconstruction Radiation therapy 

Recommended Reading

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    Barry M, Kell MR. Radiotherapy and breast reconstruction: a meta-analysis. Breast Cancer Res Treat. 2011;127(1):15–22. A meta-analysis with 1,105 patients derived from 11 clinical studies evaluating the action of radiotherapy after breast reconstruction. Patients submitted to radiotherapy after reconstruction with prosthesis present 4 times more complications than non-irradiated patients. Reconstruction with autologous tissue better supports the action of radiotherapy. CrossRefGoogle Scholar
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    Cordeiro PG, McCarthy CM. A single surgeon’s 12-year experience with tissue expander/implant breast reconstruction: part II. An analysis of long-term complications, aesthetic outcomes, and patient satisfaction. Plast Reconstr Surg. 2006;118(4):832–9. Prospective cohort of 410 reconstructions with expander and prosthetic replacement within an evaluation of 1,522 immediate reconstructions from a single institution. The reconstruction with expander / prosthesis is safe and presents good cosmetic results. The indication of radiotherapy should not be considered a contraindication for its accomplishment. CrossRefGoogle Scholar
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    Kuroda F, Urban C, Zucca-Matthes G, de Oliveira VM, Arana GH, Iera M, Rietjens M, et al. Evaluation of aesthetic and quality of life results after immediate breast reconstruction with definitive form-stable anatomical implants. Plast Reconstr Surg. 2016;137(2):278e–86e.CrossRefGoogle Scholar
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    Petit JY, Gentilini O, Rotmensz N, Rey P, Rietjens M, Garusi C, Botteri E, De Lorenzi F, Martella S, Bosco R, Khuthaila DK, Luini A. Oncological results of immediate breast reconstruction: long term follow-up of a large series at a single institution. Breast Cancer Res Treat. 2008;112(3):545–9.CrossRefGoogle Scholar
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    Urban CA. Aesthetics or symmetry: what’s the aim of breast reconstruction? Plastic Reconstr Surg. 2017;139:793e–4e. Philosophical point of view on the real purpose of breast reconstruction and how it should be approached with patients to prevent exaggerated expectations regarding reconstruction from resulting in frustration. CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • BBSG – Brazilian Breast Study Group
    • 1
  1. 1.BBSGSao PauloBrazil

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