Your Breast Reconstruction Experts at Elite Plastic Surgery

Instead of using autologous tissue (through a process known as the fat grafting technique) to reconstruct their breasts right after a mastectomy, some women may be candidates for direct-to-implant breast reconstructive surgery. This is sometimes also known as a “one-step” breast reconstruction. Our plastic and reconstructive surgeons offer direct-to-implant reconstruction for patients who will be having nipple, areola, and/or skin-sparing mastectomies; who do not wish to increase their breast size; are nonsmokers; and who will not require radiation therapy after the procedure. At Elite Plastic Surgery, we’re extensively experienced with implant-based reconstruction and have helped countless women complete their breast cancer journeys with care and compassion. If you’d like to learn more about how we can help you, reach out to our Chandler or Phoenix offices and set up your consultation with a member of our team today.

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Getting Started with Your Consultation

During your private consultation at our welcoming Elite Plastic Surgery offices, we will discuss all of the options available to you even if you are recently diagnosed and just starting to plan out your treatment. 

If saline or silicone implants are chosen, then the shape, size, and type of implant will be discussed thoroughly with you so you can achieve an aesthetically pleasing and natural result. This appointment will also give your surgeon an opportunity to explain the procedure and process to you in detail so you can enjoy total peace of mind as you look forward to your final results.

Surgical Considerations

For most women undergoing this procedure, a two-step reconstructive procedure is performed. In selected patients, however, this procedure can be performed in a single operation at the time of the mastectomy. An implant will be used to reconstruct the breast with the support of a regenerative tissue matrix. Even though there have been great improvements to silicone implants, capsular contracture and implant migration still remain a real risk after implant reconstruction. These issues may necessitate revision surgeries in the future.


The silicone implant can be positioned on top of the pectoral muscle or behind it. When the implant is placed behind the muscle, the muscle has to be cut and lifted during the procedure. A pocket for the implant is created between the muscle and the implant. With this type of placement, the recovery can be painful, and consequently have a slightly longer recovery time. It is important to note that when the implant is placed on top of the muscle, there must be enough tissue in the upper section of the breast so the implant edge is not as visible. If the patient has enough tissue, however, this is not an issue. This method also allows for a less painful, faster recovery and decreases the risk of implant movement or distortion.


The type and location of your incisions will be decided between both you and your surgeon so you can achieve optimal reconstructive results.

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The Recovery Process

Most of our direct-to-implant breast reconstruction patients experience a dull ache for a couple of days following their breast surgery procedure (particularly if the implant has been placed underneath the muscle). 

Pain relievers will be prescribed if necessary. You will be required to wear a supportive bra day and night. The recovery time for breast surgery is around two weeks, with some clients experiencing tenderness for up to four weeks or more. Strenuous activity should be avoided for a six-week period with follow-up treatments to check the results of the procedure once any swelling has subsided.

Following Up

Your plastic surgeon will discuss any specific risks or complications of breast surgery prior to the procedure. General risks with breast surgery are quite low due to the regularity with which the procedure is performed, but patients must be made aware of minor bruising following the surgery, along with associated swelling and tenderness. Wound breakdown and infection can be a problem if aftercare and follow-up treatments are not adhered to correctly, which can cause abnormal scarring to the area.

Specific but uncommon problems caused by breast reconstruction can include a collection of fluid around the implant, wrinkles or ripples in the skin, changes in sensation in the breast and nipple area, and contraction of the capsule where the implant is placed. Any concerns or continuing discomfort following breast surgery should be addressed with your plastic surgeon or doctor as soon as possible.

Schedule Your Consultation at Elite Plastic Surgery

When finalizing their breast cancer recovery, many women inquire about direct-to-implant breast reconstruction with a plastic surgeon as soon as they find out they need this aggressive type of treatment. When possible, the mastectomy can be scheduled at the same time as the implant placement, sparing you from going through multiple recovery periods. If you would like to find out if you qualify for this type of breast reconstruction, call today for a consultation at Elite Plastic Surgery, and we’ll help you decide on the course of action that’s right for you.

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