How long to wait for implants after radiation? Finished radiation August 2016.

Thank you for your question. I understand your desire to use implants for your breast reconstruction since this tends to be a more straightforward method than autologous tissue transfer. However, even if you wait a year or longer after your radiation treatment to undergo your breast reconstruction, you could still be exposing yourself to risks not typically seen with implant surgery. Radiation changes the breast tissue permanently, stripping it of its elasticity necessary for a good cosmetic result with implants. The changes to the tissue also significantly increase a patient’s risk for a painful, sometimes disfiguring complication known as capsular contracture. That said, there are some patients who may be candidates for implants after radiation treatment, depending on the amount of breast skin and tissue left behind. An experienced, credentialed Specialist Plastic Surgeon should be able to assess your personal situation to determine whether implants are a viable option for you. Good luck!
- Edmund Ek, MBBS

It is generally accepted that waiting 6-12 months (longer is likely better) following radiation is appropriate for your tissue to recover from some of the acute radiation effects.  However, radiation does cause permanent changes in your breast tissue, and these changes increase the risk of complications after implant surgery (capsular contracture, infection, wound healing problems).  There are many people who do receive implants successfully after radiation however, so you just have to be aware of the increased risks.  Your breast reconstruction surgeon will be able to advise of all the options for you, and risks, so you can make an informed decision!