Should I choose tissue flap or implant reconstruction?
Since implant reconstruction is a less extensive procedure, it is usually recommended for older patients or very thin women who may not have sufficient tissue over their stomachs or back for tissue flap reconstruction. Expander/implant reconstruction requires shorter operative times and subsequently shorter recovery period compared to tissue flap reconstruction because the former is less invasive. Furthermore, expander/implant reconstruction allows plastic surgeons to achieve greater breast symmetry for patients who develop bilateral breast cancer surgery and/or for those who require bilateral breast reconstruction.
Tissue flap reconstruction is a complex surgery requiring prolonged operative times; therefore, this surgery is not suitable for patients with multiple medical problems. Tissue flap reconstruction is more suitable for women undergoing unilateral breast reconstruction because it uses a women’s own tissue to reconstruct a breast that better matches a naturally sagging opposite breast. Additionally, tissue flap reconstruction does not have the risks associated with breast reconstruction such as capsular contracture. Ultimately, you should discuss your treatment options with a board-certified plastic surgeon before your decision.