title: Breast Augmentation after Conservation Surgery and Radiation Therapy.
abstract: BACKGROUND
  There is a paucity of data regarding outcomes for patients undergoing breast augmentation with implants after breast conservation surgery (BCS) and radiotherapy. This retrospective study examined outcomes for patients with breast implant-only augmentation after BCS and radiotherapy.
  
  
  METHODS
  Between June 1998 and December 2010, 671 women underwent prosthetic breast reconstruction. Nineteen patients (2.8%) underwent an augmentation after BCS and radiotherapy. The mean age was 55.8 years (range, 40-69 years). Sixteen of these patients underwent one-stage implant-only breast augmentation, whereas 3 patients underwent two-stage expander and then implant augmentation.
  
  
  RESULTS
  All surgeries were successful. The average size of breast implant used was 258.7 g. Seven patients also received contralateral augmentation with an average implant size of 232.2 g. One patient received oral antibiotics for minor wound infection. Patients were judged to have an excellent (14/19; 73.7%), good (3/19; 15.8%), or fair (2/19; 10.5%) cosmetic result.
  
  
  CONCLUSIONS
  The breasts of selected patients with breast cancer after BCS and radiotherapy. with asymmetry can be adequately augmented with breast implants alone.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Westmead Hospital, Sydney, New South Wales, Australia; and Faculty of Medicine and Health Sciences, Macquarie University Hospital, Sydney, New South Wales, Australia.
authors.forename: Thomas
authors.initials: T
authors.lastname: Lam
authors.affiliation: Department of Plastic and Reconstructive Surgery, Westmead Hospital, Sydney, New South Wales, Australia; and Faculty of Medicine and Health Sciences, Macquarie University Hospital, Sydney, New South Wales, Australia.
authors.forename: James
authors.initials: J
authors.lastname: Salinas
authors.affiliation: Department of Plastic and Reconstructive Surgery, Westmead Hospital, Sydney, New South Wales, Australia; and Faculty of Medicine and Health Sciences, Macquarie University Hospital, Sydney, New South Wales, Australia.
authors.forename: Frank
authors.initials: F
authors.lastname: Hsieh
authors.affiliation: Department of Plastic and Reconstructive Surgery, Westmead Hospital, Sydney, New South Wales, Australia; and Faculty of Medicine and Health Sciences, Macquarie University Hospital, Sydney, New South Wales, Australia.
authors.forename: John
authors.initials: J
authors.lastname: Boyages