Effects of Radiation on Breast Implant Reconstruction

Radiation therapy is a widely used treatment for breast cancer that effectively targets and destroys cancer cells. While it plays a crucial role in cancer treatment, it's important to understand that radiation therapy can also have side effects on the skin and tissues in the treated area. If you have undergone breast reconstruction and received radiation therapy, it's important to be aware of the potential complications that may arise. These complications can impact both the appearance and function of your reconstructed breast, requiring careful consideration and management.

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Effects of Radiation on Breast Reconstruction

What is Explant Surgery?

Breast explant surgery is done to remove breast implants for medical or cosmetic reasons. You may require explant surgery if you are having issues with implant rupture, capsular contracture (tightening around the implant), or shifting/rotation of the device. Some patients elect to have their breast implants removed due to personal preference or complications years after the initial augmentation or reconstruction. The goal is to relieve discomfort and restore natural breast contour by removing the implants and surrounding scar tissue.

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Symptoms of Radiotherapy

Radiation therapy can cause various effects on the reconstructed breast. Some of the potential complications of radiation therapy after breast reconstruction include:

Skin changes
The skin around your reconstructed breast may become red, dry, or irritated. You may also experience changes in the color or texture of your skin.
Scarring
Radiation therapy can cause scarring around your reconstructed breast. This scarring may be hard, thick, or lumpy.
Capsular contracture
Capsular contracture is a condition in which the scar tissue around an implant becomes tight. This can cause the implant to become hard and misshapen.
Volume loss
Radiation therapy can cause the tissue around your reconstructed breast to lose volume. This can make your breast look smaller or less full.
Nipple changes
The nipple on your reconstructed breast may become smaller, flatter, or inverted.

Causes & Risk Factors

The risk of developing radiation-related complications after breast reconstruction depends on a number of factors, including:

The amount of radiation you received.
The type of radiation therapy you received.
The location of your radiation treatment.
Your age.
Your overall health.

Diagnosing Effects of Radiation on Breast Reconstruction

The effects of radiation on breast reconstruction can be complex and varied. A thorough assessment by your breast cancer treatment and reconstructive surgeon is essential to accurately diagnose these effects. During the assessment, your doctor will review and perform the following:

Your medical history, including the details of your radiation therapy.
A physical examination of your reconstructed breast.
The condition of your skin.
The appearance and symmetry of your breasts.
Other signs or symptoms that you may be experiencing.

In some cases, additional diagnostic tests may be recommended to obtain a more detailed understanding of the effects of radiation on your reconstruction. These tests can include imaging studies such as mammography, ultrasound, or MRI to assess the integrity of the breast tissue and identify any abnormalities. Your doctor may also order a biopsy if there are concerns about the presence of radiation-induced changes or potential complications.

It is important to communicate openly and honestly with your doctor about any symptoms or concerns you may have related to your reconstructed breast and the impact of radiation therapy. By providing a comprehensive overview of your medical history and sharing your experiences, you can help your doctor make an accurate diagnosis and develop an appropriate treatment plan tailored to your needs.

Treatments for Effects of Radiation on Breast Reconstruction

There are a number of treatments available for radiation-related complications. The treatment you receive will depend on the type of complication you have. Some common treatments include:

Topical Therapies
Moisturizers, creams, or ointments can help alleviate skin dryness and improve overall comfort.
Physical Therapy
Stretching exercises and massages can aid in maintaining flexibility and reducing fibrosis.
Implant Revision Surgery
In cases of severe capsular contracture or significant changes in breast shape, implant revision or replacement surgery may be necessary.
Fat Grafting
In certain situations, fat grafting procedures can be used to address volume loss or contour irregularities caused by radiation.

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Preparing for explant surgery can be an emotionally taxing experience. The compassionate team at Breast Center of New Jersey is here to support, guide, and comfort you each step of the way with care and expertise. We encourage you to schedule a consultation at our specialized center to discuss your options for breast implant removal.

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Effects of Radiation on Breast Implant Reconstruction

What is Explant Surgery?

Symptoms of Radiotherapy

Causes & Risk Factors

Diagnosing Effects of Radiation on Breast Reconstruction

Treatments for Effects of Radiation on Breast Reconstruction

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