Converting Implant Reconstruction to Autologous Reconstruction
Conversion to autologous reconstruction is a procedure in which existing breast implants are removed and replaced with the patient's own tissue, using free flap techniques such as DIEP, PAP, or LAP flaps. It is a meaningful option for patients who previously had implant-based reconstruction and are no longer satisfied with their result, but still desire reconstruction.
Who is a candidate?
Many patients who have had implant-based reconstruction are candidates for conversion. The most common reasons patients consider it include:
- Capsular contracture. Tightening of the scar tissue around the implant that causes pain, distortion, or hardening.
- Chronic pain. Ongoing discomfort related to the implant or surrounding tissue.
- BIA-ALCL or implant-related illness concerns. Patients seeking removal of implants for medical or personal health reasons.
- Aesthetic dissatisfaction. Shape, position, or feel that no longer aligns with the patient's goals.
- Donor site availability. Many patients underwent implant reconstruction earlier in life because they did not yet have adequate tissue for a flap. Years later, body composition has often changed, and a flap-based reconstruction that was not previously possible is now an excellent option.
How we approach conversion
At Altris, we typically perform conversion as a single-stage operation, removing the implants and performing the flap reconstruction in the same surgery. This eliminates the need for an interim period without reconstruction and reduces overall recovery time.
We most commonly use DIEP (Deep Inferior Epigastric Artery) flaps, which use tissue from the lower abdomen. Alternative options include PAP (Profunda Artery Perforator) and LAP (Lumbar Artery Perforator) flaps, which use tissue from the upper inner thigh or the posterior flank/lower back. The right flap depends on the patient's anatomy, donor site availability, and goals.
We typically work through the existing scars on the breast, which avoids new visible incisions on the chest. This also gives us the opportunity to refine the breast aesthetics, adjusting contour, symmetry, and position as part of the same operation.
What recovery looks like
Recovery is similar to primary autologous reconstruction. Most patients spend a few days in the hospital following surgery and require several weeks of restricted activity. Many patients report somewhat less postoperative pain than they recall from their original reconstruction, in part because the chest tissue has already healed from prior surgery.
Why patients choose autologous tissue
- A softer, more natural feel and appearance
- A permanent reconstruction that does not require future implant exchange
- Tissue that ages with the patient
- No long-term risk of implant related problems such as: capsular contracture, implant rupture, or implant-related illness
Autologous Breast Reconstruction
Implant Based Breast Reconstruction
Secondary Procedures
Cosmetic Procedures
our philosophy
After years in clinical practice, we have watched patients complete treatment, receive a clean bill of health, and still feel like strangers in their own bodies. Fragmented care, time-pressured appointments, and a healthcare system focused on disease management rather than whole-person recovery leaves too many people stranded between surviving and truly living.
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Elite Surgical Expertise
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Whole-Body Care
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Secondary Reconstruction Specialists
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