November 21, For nearly four decades, the main option for breast reconstruction for women who had to undergo a mastectomy was to place implants under the main chest muscle — a procedure that often results in chronic pain and muscle weakness in the chest and arms. It also creates a strange unsightly contraction of the breasts and chest whenever the main muscle — the pectoralis major — contracts, called animation.
Breast reconstruction is a surgical procedure that restores shape to your breast after mastectomy — surgery that removes your breast to treat or prevent breast cancer. One type of breast reconstruction uses breast implants — silicone devices filled with silicone gel or salt water saline — to reshape your breasts. Breast reconstruction with breast implants is a complex procedure performed by a plastic surgeon.
Focus on Cancer Blog. Breast implants are one of the ways plastic surgeons can create a reconstructed breast after a mastectomy, the term for when all of your natural breast tissue is removed, or in some cases, after a lumpectomy, which removes only the tumor and an area of normal tissue around that. Then, a breast implant is placed under the muscle.
Your plastic surgeon will discuss the type of breast reconstruction that would work best for you. Women with larger breasts may need surgery on the other, unaffected breast to balance the appearance of their breasts. A breast implant is a round or tear-shaped sac made of rubberized silicone.
A type of breast implant used by millions of women around the world is under scrutiny after French surgeons were advised to stop using it because of a potential link with a rare kind of cancer. Textured breast implants have been linked with anaplastic large cell lymphoma ALCLwhich forms in the scar capsule around the implant and normally begins with pain and swelling in the breast. Women who have the implants and capsules removed can make a full recovery, but if left untreated the disease can spread throughout the body and become life-threatening.
On March 21,the U. Food and Drug Administration FDA updated its warning about a link between breast implants and a very rare form of cancer: anaplastic large-cell lymphoma. Read the FDA safety announcement on breast implant-associated anaplastic large-cell lymphoma.
The popularity of breast augmentation has more than doubled sincewhen there were just overof these procedures. Given these statistics, it is not surprising that in spite of the increasing number of women with breast implants, debate continues to swirl about their safety. Many women are justifiably confused by the conflicting information they hear.
Breast implants may make it more difficult to detect breast cancer at an early stage, a new analysis suggests. In the study of women with breast cancer, those with breast implants tended to be diagnosed at a later stage than women without implants. Breast implants themselves are not thought to increase the risk of breast cancer, but there has been concern that implants may impair doctors' ability to view breast tissue with mammograms. Earlier studies looking at this issue have had mixed results.
Breast reconstruction proceeding cancer treatment carries risk, regardless of the type of surgery. From fat grafting, to flap placement, to implants, there is no guarantee that reconstruction will not stimulate breast cancer recurrence. Research in this field is clearly divided into two parts: scientific interventional studies and clinical retrospective evidence.
The study also shows some differences in breast cancer diagnosis and treatment in women who have had breast augmentation, including a higher rate of mastectomy. The researchers studied 48 patients with breast cancer developing after breast augmentationalong with a group of women with breast cancer who did not have breast implants. Average time from breast augmentation to cancer diagnosis was 14 years.