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Real members of MyBCTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Radiation with implants?

A MyBCTeam Member asked a question 💭
Miami, FL

Hi ladies, has anyone done radiation with the implants on? Specifically Proton therapy? My cancer was on the left breast so the radiologist recommends proton therapy to prevent damage to the heart/lungs. How did your implant look after radiation? I know there is a higher risk for implant contracture so I am freaking out.

May 14
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A MyBCTeam Member

My reconstructive plastic surgeon told me that if you plan to reconstruct with implants you need either the expander or permanent implants in place before you have radiation. This is because the radiaton reduces the elasticity in the skin so in most cases the skin can't stretch enough to accomodate an implant if the reconstruction is done after radiation. She also said if you reconstruct after radiation then you need to do a flap surgery where your own skin, fat, and muscle tissue is used to create your new breast(s).

May 16 (edited)
A MyBCTeam Member

Suzette4, All the best to you on your Radiation Therapy. I hope someone on here can give you some firsthand experience with your question. Hugs and prayers.

May 14
MyBCTeam

It's completely understandable to feel anxious about this — you're juggling a lot at once, and wanting to protect both your health and your results makes total sense.

Your radiologist's recommendation of proton therapy for left-sided breast cancer is a thoughtful one. Because the left breast sits closer to the heart Show Full Answer

It's completely understandable to feel anxious about this — you're juggling a lot at once, and wanting to protect both your health and your results makes total sense.

Your radiologist's recommendation of proton therapy for left-sided breast cancer is a thoughtful one. Because the left breast sits closer to the heart, proton therapy is often preferred as it can target cancer cells more precisely, helping to limit damage to surrounding healthy tissue like the heart and lungs. Regarding your concerns about implant contracture and appearance after radiation — these are very valid concerns worth discussing in depth with your care team. Some key points to keep in mind:

- Radiation can cause changes to skin texture, shape, and the surrounding tissue
- Implant contracture (hardening/tightening around the implant) is a known risk with radiation
- Proton therapy's precision may help reduce some tissue damage compared to traditional radiation
- Your plastic surgeon and radiation oncologist should ideally work together on your plan

Bringing up your implant concerns directly with both your radiation oncologist and plastic surgeon before treatment begins is really important. They can set realistic expectations and may have strategies to help minimize complications.

You're not alone in this worry — many MyBCTeam members have navigated radiation with reconstruction and found that open communication with their full care team made a big difference.

May 14

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