Although breast reconstruction is very helpful to many women, it is not right for everybody. Here the patient factors that influence whether and how breast reconstruction is performed are described.

Breast Reconstruction Contraindications

 
Breast Reconstruction Contraindications
Women who are interested in breast reconstruction but who, for any reason, cannot physically or psychologically bear up the stresses of the surgery should delay breast reconstruction until the obstructions have been removed.

Characteristics that would cause a poor result of breast reconstruction (contraindications):
  extreme obesity;
  has poor general health;
  is a heavy smoker;
  poor cancer prognosis;
  short life expectancy;
  advanced age can be a factor in the choice of technique;

All these contraindications could lead to problems during or after the operation. 

For a patient to effectively finish a program of breast reconstruction, she must be correctly motivated. She should be convinced that she really wants breast reconstruction and should not be influenced by someone else to endure the procedure. Breast reconstruction can always be delayed; it is not an emergency procedure.

If a woman is not sure that she wants to have the surgery, she is probably not ready and it is better for her to wait than to proceed. She should live for a while without a breast reconstruction and use an external prosthesis to disguise her missing breast. If she is not pleased with that arrangement, she may become much more aggravated and willing to accept the risks and inconvenience that a breast reconstruction entails. She will also be less likely to be dissatisfied with the outcome of the breast reconstruction and more likely to be at peace with her decision, even if the aesthetic outcome is not perfect.

Physical factors also may be potential contraindications for breast reconstruction. A woman whose body mass index is 30 to 39, as determined by the association between weight and height, is considered obese and is so at increased risk of complications when undergoing any kind of surgery, including breast reconstruction.

Poor general health is a contraindication to any elective surgery, including breast reconstruction. Poor health may lift up the surgical risks to the point that they outweigh any potential advantage from the breast reconstruction. Any qualified plastic surgeon will not subject a patient in poor health to surgery even if that patient is obstinate in her desire for the breast reconstruction. If the risks are too high, the surgery will be adjourned until the patient’s medical condition can be improved and the risks are decreased.