Are breast implants after mastectomy possible in someone with Hidradenitis Suppurativa?

My mother has breast cancer and is looking to have a mastectomy. She was hoping to have implants post mastectomy but her plastic surgeon said he wouldn't do it since she has Hidradenitis Suppurativa. Why? Other options? Should we find a willing surgeon? She is even more devastated with this news.

The surgeon is being cautious. They are looking at that condition as one that would increase the chance of an infection. When placing any implant it is imperative to evaluate each patient for risk factors that would lead to an infection. The options most suitable would be to use her own tissue. The most common method in our practice is the DIEP flap which uses the skin and fat of the lower abdomen to recreate the breast. Your mother would be a candidate if she has excess lower abdomen skin and fat.

Robert Whitfield MD, FACS
Robert Whitfield MD, FACS
1510 W 34th StAustinTX78703US

Robert Whitfield MD, FACS

1510 W. 34th Street, Suite 100, Austin, TX,
78703, US

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Hydradenitis suppurativa is an infection of the sweat glands and I assume it is in the axilla near the surgical site. That would increase the risk of surgical site infection. Every effort should be made to control the infection prior to surgery regardless of the method of breast reconstruction. Once controlled, the chances of surgical site infection decreases, you would then have the option of breast reconstruction

Samir F. Shureih MD
Samir F. Shureih MD
10 E 31st StBaltimoreMD21218US

Samir F. Shureih MD

10 East 31st Street, Baltimore, MD, 21218,
US