Complications Following Breast Reconstruction

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Performing an immediate breast reconstruction with a tissue expander or breast implant:
    • Carries a higher complication rate than a mastectomy alone
  • Surgical complications and delayed wound healing:
    • May lead to a delay in adjuvant radiation therapy
  • Obesity with a BMI >30:
    • Increases complication rates leading to adjuvant radiation therapy delays
  • Age over 50 has also been implicated to increase post-operative complications which may be related to other pre-existing comorbidities that occur with advancing age
  • References
    • Teotia SS, Venutolo C, Haddock NT. Outcomes in patients receiving neoadjuvant chemotherapy undergoing immediate breast reconstruction: effect of timing, postoperative complications, and delay to radiation therapy. Plast Reconstr Surg. 2019;144(5):732e-742e.
    • Paprottka FJ, Schlett CL, Luketina R, Paprottka K, Klimas D, Radtke C, et al. Risk factors for complications after skin-sparing and nipple-sparing mastectomy. Breast Care (Basel). 2019;14(5):289-296.
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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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