The findings of a recent study show that significantly obese women who undergo breast reconstruction surgery after mastectomy face a greater risk for complication. In light of the evidence, experts are encouraging obese patients to defer breast reconstruction until a healthy weight is attained.

“‘Feeling whole' can be an integral part of recovery from cancer, yet significant concerns have been raised about the wisdom of doing breast reconstruction in very obese patients due to a high complication rate,” said Dr. Elisabeth Beahm, author of the study.

A Retrospective Study

Dr. Beahm and her colleagues investigated whether breast reconstruction surgery can be safely performed on obese patients. According to their findings, patients with a body mass index (BMI) of greater than 35 had a higher risk of complications, including:

• Fluid collection
• Infection
• Hernia
• Deformity

The study further showed that patients with a BMI of greater than 40 experienced almost 100 percent complication rate.

“Just because someone is overweight doesn't mean they should not be entitled to undergo breast reconstruction after mastectomy,” said Dr. Beahm. She added, however, “in many cases it may be more prudent to delay breast reconstruction until the patient has lost weight.”

Morbidly obese patients who are considering breast reconstruction are recommended to work closely with their plastic surgeons to weigh the risks and benefits of the procedure.

Considering breast reconstruction? Please contact us today to learn more about your options or to consult with a board certified plastic surgeon near you.