Implant surgery after a double mastectomy involves several steps and considerations:

1. Types of Implants:
- Silicone Implants: Filled with silicone gel, they tend to look and feel more natural.
- Saline Implants: Filled with sterile salt water, they are another option but may feel less natural.

2. Procedure
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Implant surgery after a double mastectomy involves several steps and considerations:

1. Types of Implants:
- Silicone Implants: Filled with silicone gel, they tend to look and feel more natural.
- Saline Implants: Filled with sterile salt water, they are another option but may feel less natural.

2. Procedure:
- Tissue Expander: During the mastectomy, a tissue expander (an empty implant) may be placed. This is gradually filled with air or water over six to eight weeks to stretch the skin and prepare for the permanent implant.
- Permanent Implant: After the tissue has expanded sufficiently, a more permanent implant is placed.

3. Timing:
- Immediate Reconstruction: Performed during the mastectomy, chosen by around 75% of people.
- Delayed Reconstruction: Allows time to decide on the type of reconstruction preferred.

4. Considerations:
- Health and Treatment: Overall health, breast size, cancer location, and any adjuvant treatments needed post-surgery.
- Aesthetic Goals: Desired look and feel of the reconstructed breast.
- Insurance Coverage: Important to check what is covered.

5. Risks and Recovery:
- Infection: Infection can occur in up to 35% of cases.
- Replacement: Implants typically need to be replaced every 10 years.
- Additional Surgeries: Tissue flap procedures require more surgeries and longer recovery times.

6. Nipple Reconstruction:
- Can be performed three to four months after the initial reconstruction once the new breasts have healed.

7. Emotional Impact:
- Many women report improved body image and self-esteem after reconstruction.

For more detailed information, you can refer to the resources provided by MyBCTeam:
- [Reconstruction After Breast Cancer Surgery: Your Guide](https://www.mybcteam.com/resources/reconstructi...)
- [Reconstructive Surgery for Breast Cancer](https://www.mybcteam.com/treatments/reconstruct...)

 This AI-generated response comes from MyBCTeam and other selected sources. It is not a substitute for medical advice. Always ask your doctor about specific health concerns.

Reconstruction After Breast Cancer Surgery: Your Guide | MyBCTeam

Reconstructive Surgery for Breast Cancer | MyBCTeam