Despite the best efforts to create a breast mount to match the opposite normal breast, it is frequently difficult to achieve full symmetry due to the opposite normal breast being too large and ptotic (breast droop). A reduction mammoplasty and mastopexy may be necessary to achieve better symmetry at a second stage.

Breast reconstruction has no effect on cancer recurrence and does not delay the detection of cancer recurrence. It does not delay or interfere with post-operative chemotherapy or radiotherapy. However there may be hardening of the reconstructed breast as a result of radiotherapy.