I am struggling to understand the level of risk in having a (Braxon) implant post mastectomy, given that it is highly likely I will have radiotherapy.
During my last appointment with surgeon (NHS and post MTD meeting) he said the MRI showed my cancer as over a 4.7cm radius, therefore under the 5cm border after which guidelines suggest radiotherapy. We went next door with breast nurse to discuss reconstruction. During this meeting the radiologist came in, showed us more images and he drew a line showing 5.3. I saw the surgeon again to ask if this means radiotherapy now likely. Answer, yes. My research suggests radiotherapy increases the risk of capsular contraction and that the skin may tighten over the implant as a result.
He immediately said mastectomy, have follow up treatment then reconstruct when NHS list allows (3 1/2 years at present). But equally he said I could try the implant as the side effects of radiotherapy may not happen. Perhaps better to have one op, than two.Â
I am now confused, but would certainly prefer immediate reconstruction if possible. BUT if the risks of capsular contraction are high, this may change my mind.
I’m hoping other people may have had experience of radiotherapy on implants…and nurses, what information you have in this regard?
My op is on 5th Oct, I have to decide by Thurs 30th Sept. Thank you xÂ
Hi @Pigaletto  - I had a mastectomy about 4 years ago with immediate reconstruction using an implant and Braxon sling, on top of the chest muscle (“pre-pectoral”). I then went on to have radiotherapy straight afterwards, and touch wood all is ok at the moment. Surgeons are reluctant to do implants before radiotherapy because of the risk of capsular contracture, as you say, but mine said this particular combination had a lower risk. I’m happy to discuss further if that helps at all.
I wish you all the very best for whichever option you choose and for your recovery. Evie xx
I know this is a really old post but I am faced with something similar atm. I had a single mastectomy and implant reconstruction in February. My margin was 1.23 so im seeing oncology on Monday to talk about radiotherapy. I suspect itll be recommended so I was wondering if you both could share your experience as you’re further down the road than me. Hope you are both doing well.
@thecrane good morning, and I hope you are recovering well from your own surgery. I am very happy to share my experience so please feel free to ask me any questions. I had my surgery in 2017, followed by radiotherapy. Best wishes, Evie xx
I had mastectomy with immediate reconstruction and reduction of healthy boob to match in 2024 as lymph nodes clinically clear but SNB positive so radiotherapy and chemo followed. I’ve had some capsular contraction but it’s not really noticeable with a bra on and I’ve no discomfort. Both myself and surgeon are happy with results. It’s not perfect but then gravity had already done its worst so at least they’re a little more perky even if ones smaller than the other.