Implant-based augmentation mammaplasty following breast conservation surgery

BACKGROUND: Implant-based augmentation mammaplasty following breast-conserving cancer therapy (BCT) and radiotherapy has previously been cautioned against given concerns over complications and potential occult recurrence. METHODS: All patients who underwent BCT and radiotherapy followed by implant-based augmentation mammaplasty were included in the study. Retrospective case-note analysis was performed. RESULTS: In all, 23 delayed implant-based mammaplasty procedures following BCT for breast cancer were performed. Fifteen tumors were located in the superior half of the breast. The median weight of wide local excision was 71.0 g (range, 15-385). All implants were placed in a subglandular position with median volume of 140 mL (range, 80-370). Complications occurred in 10 breasts, and 6 breasts required revisional surgery. Capsular contracture occurred in 4 breasts. No patient developed locoregional recurrence. A questionnaire revealed excellent satisfaction of the patient, and all patients reported that they definitely or probably would recommend the procedure. CONCLUSIONS: Delayed implant-based augmentation mammaplasty after BCT and radiotherapy is feasible and gives good aesthetic results with high satisfaction of the patient. This technique is an important addition to the breast conservation surgery algorithm.