Postoperative complications following implant-based surgery in breast cancer

Oncoplastic surgery in the treatment of breast cancer is being increasingly indicated in contemporary practice. It enables effective oncologic treatment while preserving aesthetic outcomes, thereby reducing the patient’s psychological distress. Postoperative complications may compromise the final result, and their incidence should be minimized by preventing factors associated with their development. A systematic review of the literature was conducted using PubMed to analyze the most common implant-related complications in breast surgery, along with current strategies and technologies for their prevention and management. Selecting an appropriate surgical technique and conducting a thorough preoperative consultation with the patient enable informed decision-making. A fundamental principle in the management of complications in implant-based reconstruction is an aggressive surgical approach. Early intervention increases the likelihood of successful reconstructive salvage. Abbreviations used: ADM (Acellular Dermal Matrix), BMI (Body Mass Index), ICG (Indocyanine Green Angiography), BIA-ALCL (Breast Implant–Associated Anaplastic Large-Cell Lymphoma), ASIA syndrome (Autoimmune Syndrome Induced by Adjuvants).