• Radiation on Breast with Implant?

    Asked by Polika on Thursday, June 23, 2016

    Radiation on Breast with Implant?

    I had a small but aggressive tumor, so I had a mastectomy with reconstruction. I figured I could also control the cosmetic outcome better since I could skip radiation. But then my sentinel node biopsy showed one positive node. So radiation is going to happen anyways over the breast with implant (chest wall and armpit). Has anyone had radiation over an implant? What effect does it have on appearance? Thanks!

    4 Answers from the Community

    4 answers
    • pie's Avatar
      pie

      My plastic surgeon was very concerned about radiations effect on my implants. After much research he decided to do my exchange before it started. So far I seem to be doing well w/ them. I finished rads in Nov. They did tell me it could be years before total healing and problems could arise, but the further out I get the better. Best of luck to you. They also said problems were less likely if everything went well up to that point.

      about 4 years ago
    • debsweb18's Avatar
      debsweb18

      I had an immediate implant with my mastectomy and then radiation. It might have worked but my plastic surgeon didnt do a good job with symmetry and after a few surgeries my reconstructed nipple was way too high. Due to radiation they couldn't just cut it out. So i ended up with a lat flap. Much better results but my radiated skin is so thin I'm afraid my implant will pop out some day.

      about 4 years ago
    • beachbum5817's Avatar
      beachbum5817 (Best Answer!)

      When I went in for my double mastectomy, I was not expecting to have to have radiation. The plastic surgeon put in tissue expanders at that time. When the final pathology report showed more lymph nodes involved, it added the radiation to my treatment. Both the radiologist and the plastic surgeon said that I should not have my tissue expanders filled too much, because radiation tightens the skin. If I did, they would have to take out some of the saline. I was not up for that, so I halted the fills during the radiation. It worked out fine. I resumed the fills about 2 months after radiation. They wanted the skin to be healed as much as possible. I have had the permanent implants for a year now. The radiated side is higher, so I am now trying to decide if I want the other side lifted or just live with it. Hope this helps. Good luck. Take care.

      about 4 years ago
    • gailk's Avatar
      gailk

      I had a double mastectomy, tissue expanders, chemo, radiation (due to positive nodes), then reconstruction with implant. Both implants were high immediately after reconstruction and then the non-radiated side dropped to a normal position, but the radiated side didn't. It's been three months now and nothing has changed. I recently went to a physical therapist and she thinks with massage, we can loosen the scar tissue on the radiated side so it will drop more. I put lotion on the radiated side faithfully all through radiation and my skin on the radiated side is almost as soft as the non-radiated side. My physical therapist suggested wearing a thinly padded bra and, with the support on the non-radiated side, I look more even in clothes. I'm disappointed with the breast reconstruction, but I felt I needed to follow my cancer team's recommendation to fight the cancer. After going through all of this, I'm learning not to worry so much about the less important things.

      over 3 years ago

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