The two most important risk factors of implant loss after post-mastectomy breast reconstruction are smoking and obesity. Those women who do smoke or are obese are more likely to suffer complications during their reconstructive procedure, as reported in a recent published article. Such complications include early implant loss, infection, wound complications, additional revisionary procedures or need for flap procedures.
Other risk factors include diabetes, heart or lung disease, history of radiation therapy, and age. The study also cited age >55, undergoing bilateral breast reconstruction, and undergoing direct-to-implant breast reconstruction as being associated with a higher risk of complications.
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