Comparative Analysis of Breast Implant Illness Symptoms in Implant-Based, Autologous, and No-Reconstruction Mastectomy Patients

Autologous reconstruction confers the lowest long-term burden of BII-compatible symptoms, whereas implants increase fatigue, joint pain, and rash relative to autologous flaps but not relative to mastectomy alone. Systemic complaints after breast surgery appear multifactorial rather than implant-specific, supporting balanced patient counseling and prospective mechanistic research.