What is the percentage of people who need a second surgery after reconstruction?

I wonder how many people have problems that require additional surgery.

Emailz
1
Expert Answers

drchrysopoulo (Physician - Surgery - Plastic (Verified) ) - 10 / 27 / 2011

Breast reconstruction is the same as any surgery - complications can happen and some of them unfortunately lead to more surgery.

Most specialist breast reconstruction centers have flap success rates of 99%. Implant reconstruction does have a significant re-operation rate long term (within 10 yrs) because of implant related complications such as hardening (capsular contracture), particularly if radiation was used as part of the breast cancer treatment.

It is important to know that most breast reconstruction patients routinely undergo more than one surgery, but not because of complications. The vast majority of our breast reconstruction patients undergo more than 1 stage regardless of the type of reconstruction performed. That is a standard approach for most breast reconstruction surgeons these days....

In the case of a flap reconstruction, the second surgery ("revision stage") typically involves optimizing breast symmetry, nipple reconstruction, scar revision, and contouring of the donor site. A small handful of patients that have nipple-sparing mastectomy and immediate flap reconstruction will not need a second surgery.

In the case of implant reconstruction, most are still performed in stages. The first stage involves placement of a tissue expander and the second stage involves exchanging the expander for a permanent implant. Nipple reconstruction is performed as a third stage. Again, patients undergoing nipple-sparing mastectomy may not need a second surgery but only if they are candidates for the single-stage implant reconstruction ("Alloderm one-step").

I hope that info helps.

Dr C
http://www.PRMA-enhance.com
Join Now to ask a follow-up question or share your experience!
We'll help guide and support you through treatments.
Similar Questions
How often do women undergo immediate breast reconstruction versus waiting for a while after surgery?
What do I need to know about anesthesia before having breast surgery?
What plastic surgery options are available after a lumpectomy?
What factors determine the amount of scarring present after breast reconstruction?
What is the typical follow up process after a DIEP flap breast reconstruction?
Note: All content on this site is informational and not a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider with questions regarding your health.
Note: Usernames have been made anonymous and profile images are not shown to protect the privacy of our members.
Flag Content
Please explain why you are flagging this content. Thank you.
Thank you for flagging this content. We will look into it right away.
Give a 'Thank you' to
Close
Talk About Health
Add Answer

Close
1) Question:
2) Background Info (optional): What context or background information is relevant to this request?
Notes:
The more clear and thorough your request, the more likely you will receive support.
Many of our members are learning from this information or english might not be their first language. Please use standard english and spell out all words. For example, use 'you' instead of 'u'.
Close
Talk About Health
Please join TalkAboutHealth and you will be able to ask questions.
Newsletters
Close
Subscribe to our free updates for the latest news, best answers and featured experts!
Your Email:
Q&A Workshop Announcements
(Featured experts, answers, tips, & latest news.)
Q&A Workshop Summaries
(Answer summaries from our expert Q&A workshops.)
Best of TalkAboutHealth (weekly)
(The week's best answers, news & support.)
TalkAboutHealth Benefits
(Custom health, wellness & medical promotions from our partners.)

Partners become a partner

© Copyright 2018 - Talk About Health - Privacy Policy | Terms of Service
x Don't show again
Like us on Facebook?