Patients with high body mass index (BMI) or very large breasts deserve special consideration when planning breast reconstruction.  The risk of complications is increased for all operations in patients with high BMI. Depending on your specific circumstances it may be safest to delay breast reconstruction until after weight loss.  Implant based reconstruction is especially problematic because it has a higher complication rate and may not yield aesthetically satisfactory results.  Natural tissue reconstruction may offer a better aesthetic result.  For patients who are candidates for a lumpectomy, a breast tissue rearrangement following lumpectomy combined with a breast reduction on the opposite breast may offer excellent results. 

 

 

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