American Society of Plastic Surgeons
For Medical Professionals
 
amwatts
2 years ago
Answered

Breast Augmentation and Radiation post 7 years

Hello. In 2015, I was diagnosed with breast cancer. Due to my history, I had all the options. I chose conservative surgery with radiation. (Did not want to hassle with the drainage issue. ) I have never ever like the size of my breast. I always want augmentation surgery. Is it still not possible for me to have this procedure? My radiation was not terrible at all. No scarring, no burning etc.

Procedure: Breast Augmentation
Location: Mount Airy, NC

Replies 3

Peter Henderson
ASPS Surgeon
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Great question. Whether it is at the same time as the breast surgery (“immediate setting”) or at any point after that, even years later (“delayed reconstruction”), you always have options to make breasts smaller, bigger, or to change their shape.

In your case, there are multiple ways that the breasts can be enlarged, though the fact that you’ve undergone radiation may impact the exact details available to you.

I recommend that you discuss with a surgeon who is able to offer the full range of reconstruction options (including advanced tissue-based options, which can be used as a stand-alone procedure, or in conjunction with implants). This way you will be sure to have been offered all available options, and you can work with that surgeon to find the option that is best for you.

We can help connect you with such a surgeon in your home southeastern region, or we can personally help by discussing your options via a virtual/telehealth visit.

You deserve this. Good luck!

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Ellis Tavin
ASPS Surgeon
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Placement of breast implants in a radiated breast, even years later, puts you at higher risk of developing a hard, thick scar around the implant. You may want to consider fat transfer to your breasts presuming you have fat to spare. Unless you have an obvious deformity of your breast after your cancer treatment, your insurance company may consider breast enlargement cosmetic and not a covered procedure.

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Alfred Antonetti
ASPS Surgeon

Radiation increases the chance for postoperative capsule contractures. There are many options and the best you can do is to have a consultation with a plastic surgeon close to where you live.

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