{"id":5066,"date":"2025-09-20T13:01:08","date_gmt":"2025-09-20T11:01:08","guid":{"rendered":"https:\/\/micheldelpe.ch\/chirurgie-esthetique\/reconstruction-mammaire\/reconstruction-mammaire-implant\/"},"modified":"2025-11-29T20:13:30","modified_gmt":"2025-11-29T19:13:30","slug":"reconstruction-mammaire-implant","status":"publish","type":"page","link":"https:\/\/www.plasticiens-paris.com\/en\/chirurgie-esthetique\/reconstruction-mammaire\/reconstruction-mammaire-implant\/","title":{"rendered":"Breast Reconstruction with Implants"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Advantages<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A quick and straightforward breast reconstruction method<\/li>\n\n\n\n<li>Does not create additional scars<\/li>\n\n\n\n<li>Particularly well-suited for lean patients who have not undergone radiotherapy<\/li>\n\n\n\n<li>One or two preoperative lipofilling sessions greatly enhance results, especially in irradiated patients<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Techniques and Results of Implant-Based Breast Reconstruction<\/h3>\n\n\n\n<p>The goal of this procedure is to restore breast volume and contour using an internal implant placed beneath the pectoral muscle. It can be performed:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Immediately<\/strong> after mastectomy (immediate reconstruction)<\/li>\n\n\n\n<li>Or <strong>after a delay<\/strong> (secondary reconstruction)<\/li>\n<\/ul>\n\n\n\n<p>Depending on the case, the implant may be:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A <strong>permanent implant<\/strong> in simpler cases<\/li>\n\n\n\n<li>Or a <strong>tissue expander<\/strong>, used temporarily to prepare the site for final implant placement by stretching the skin and muscle<\/li>\n<\/ul>\n\n\n\n<p>Implants are composed of a <strong>silicone elastomer shell<\/strong>, which may be smooth, textured, or coated in polyurethane foam to reduce the risk of capsular contracture (shell formation). Most implants used in our practice are <strong>anatomical polyurethane-coated implants<\/strong>, selected for their natural shape and stability.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Immediate Reconstruction<\/h3>\n\n\n\n<p>Performed right after mastectomy, the implant is placed under the pectoral muscle. When the tumor is far from the areola, we often preserve the areola and perform surgery via an incision under the breast, as in cosmetic breast augmentation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Delayed Reconstruction<\/h3>\n\n\n\n<p>When tissues are thin or tight, we first perform <strong>1\u20132 lipofilling sessions<\/strong>, spaced two months apart. The <strong>mastectomy scar is reused<\/strong>, and an <strong>abdominal advancement flap<\/strong> may be used to increase skin coverage in the lower pole of the breast. The <strong>pectoralis muscle<\/strong> is elevated to conceal the implant\u2019s upper edge.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Procedure Details<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Anesthesia<\/strong>: General anesthesia, with a pre-op consultation required at least 48 hours in advance<\/li>\n\n\n\n<li><strong>Duration<\/strong>: Approximately 1 hour<\/li>\n\n\n\n<li><strong>Hospitalization<\/strong>: 2 to 4 days, due to the need for drainage<\/li>\n\n\n\n<li><strong>Recovery<\/strong>: Return to work is typically possible after 2 weeks<\/li>\n<\/ul>\n\n\n\n<p><strong>Rehabilitation<\/strong>: Physical therapy is recommended to minimize discomfort and improve breast flexibility<\/p>\n\n\n\r\n<!-- Block - FAQ -->\r\n<section class=\"faq-block\" style=\"\">\r\n            <h2>Questions \/ Answers<\/h2>\r\n                <div class=\"faq-list\">\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Are there contraindications to breast reconstruction with implants?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Yes. This method is not ideal for all patients, particularly those who:<\/p>\n<ul>\n<li>Smoke heavily<\/li>\n<li>Are overweight<\/li>\n<li>Have undergone radiotherapy, which significantly increases the risk of complications such as tissue contracture or implant failure<\/li>\n<\/ul>\n<p>In such cases, DIEP or latissimus dorsi flap reconstructions are preferred. Lipofilling prior to implant placement may improve tissue quality and reduce risks.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Should I choose silicone or saline implants?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>While saline implants offer safety advantages (no silicone leakage), they:<\/p>\n<ul>\n<li>They are only available in round shapes<\/li>\n<li>Tend to feel firmer<\/li>\n<li>May show folds through the skin, especially in reconstruction<\/li>\n<\/ul>\n<p>We therefore recommend ergonomic silicone implants for most reconstructive cases.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Is reconstruction with implants possible after radiotherapy?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>In general, no. Radiotherapy causes skin retraction and a higher risk of failure. If attempted, there&#8217;s a high likelihood of:<\/p>\n<ul>\n<li>Capsular contracture (20\u201330% rate)<\/li>\n<li>Implant removal in severe cases<\/li>\n<\/ul>\n<p>New radiation techniques and fat grafting before implant placement can reduce these risks, but may delay reconstruction by several months.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">What are the possible complications?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <ul>\n<li>Immediate: Hematoma, infection, wound dehiscence (2\u20133% failure rate)<\/li>\n<li>Delayed: Capsular contracture, implant malposition, rotation, or rupture<\/li>\n<\/ul>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Are the results long-lasting?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Not permanently. The reconstructed breast with an implant remains fixed, while the natural breast ages and may sag. Symmetrization may be needed over time. Also, implant replacement is typically required after 10\u201312 years.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Is post-operative pain normal?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Yes, especially when implants are placed under the muscle. Discomfort is usually manageable with painkillers and decreases over days or weeks. Persistent or worsening pain should be evaluated.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">How much does it cost?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Breast reconstruction using implants is covered by health insurance after consultation with the social security medical advisor. We charge additional fees of \u20ac1,500 to \u20ac2,000 depending on the case, which may be covered by your insurance company.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                    <\/div>\r\n    <\/section>\n\n<div class=\"kk-star-ratings kksr-auto kksr-align-center kksr-valign-bottom\"\n    data-payload='{&quot;align&quot;:&quot;center&quot;,&quot;id&quot;:&quot;5066&quot;,&quot;slug&quot;:&quot;default&quot;,&quot;valign&quot;:&quot;bottom&quot;,&quot;ignore&quot;:&quot;&quot;,&quot;reference&quot;:&quot;auto&quot;,&quot;class&quot;:&quot;&quot;,&quot;count&quot;:&quot;0&quot;,&quot;legendonly&quot;:&quot;&quot;,&quot;readonly&quot;:&quot;&quot;,&quot;score&quot;:&quot;0&quot;,&quot;starsonly&quot;:&quot;&quot;,&quot;best&quot;:&quot;5&quot;,&quot;gap&quot;:&quot;5&quot;,&quot;greet&quot;:&quot;notez cet page&quot;,&quot;legend&quot;:&quot;0\\\/5 - (0 votes)&quot;,&quot;size&quot;:&quot;24&quot;,&quot;title&quot;:&quot;Breast Reconstruction with Implants&quot;,&quot;width&quot;:&quot;0&quot;,&quot;_legend&quot;:&quot;{score}\\\/{best} - ({count} {votes})&quot;,&quot;font_factor&quot;:&quot;1.25&quot;}'>\n            \n<div class=\"kksr-stars\">\n    \n<div class=\"kksr-stars-inactive\">\n            <div class=\"kksr-star\" data-star=\"1\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"2\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"3\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"4\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"5\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n    <\/div>\n    \n<div class=\"kksr-stars-active\" style=\"width: 0px;\">\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n                \n\n<div class=\"kksr-legend\" style=\"font-size: 19.2px;\">\n            <span class=\"kksr-muted\">notez cet page<\/span>\n    <\/div>\n    <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Advantages Techniques and Results of Implant-Based Breast Reconstruction The goal of this procedure is to restore breast volume and contour using an internal implant placed beneath the pectoral muscle. It can be performed: Depending on the case, the implant may be: Implants are composed of a silicone elastomer shell, which may be smooth, textured, or [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1667,"parent":2197,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/domain-single.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-5066","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/5066","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/comments?post=5066"}],"version-history":[{"count":0,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/5066\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/2197"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/media\/1667"}],"wp:attachment":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/media?parent=5066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}