In my practice of post-mastectomy breast reconstructive surgery, I have observed the growing importance of, in the future, having so-called ‘colonizable’ breast implants—designed to allow the gradual integration of the patient’s own biological tissues.

These next‑generation implants would represent a significant advance in breast reconstruction. They could offer major surgical and functional benefits:

• Enhanced tissue integration: colonization by surrounding tissues would promote natural stabilization of the prosthesis, thereby reducing the risks of displacement or rotation.

• Reduction of capsular fibrosis: thanks to improved biological tolerance, these implants would reduce the chronic inflammatory reactions responsible for capsule formation.

• More durable and natural outcome, featuring a supple feel and physiological response to body movement.

• Improved safety, particularly in immediate reconstructions or post-radiotherapy settings, where tissues are often compromised.

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Beyond their surgical value, these devices would profoundly impact patients’ care journeys. Often, they would reduce the number of secondary interventions and help restore a stable and satisfying body image, with tangible psychological benefits.