Happy to hear you have not experienced a cancer recurrence nor lymphedema.
Having had a mastectomy is not a contraindication to having surgery. I would suggest you speak with your surgeon about your concerns.
I think you are asking not if the surgery is feasible, but whether or not having the procedure will cause lymphedema in your post-mastectomy arm.
The answer is " I do not know".
Lymphedema is an interesting phenomena. The information below might help explain why no one can absolutely say "Yes, you will develop lymphedema" or "No, you will not develop lymphedema" after brachioplasty.
Lymphedema:
1. Can develop or become clinically evident as long as 20 years after a surgical procedure even without any known additional insult , surgery , significant weight gain, infection or trauma.
2. Is not just a problem with plumbing.
3. Occurrence , timing of development and severity of the process is believed to potentially be influenced by : individual variations in lymphatic system anatomy and structure, genetics, medical co-morbidities, concurrent medications, age, gender, confounding / co treatments, past surgeries, inflammation, additional insults, weight, etc.
Post mastectomy individuals without lymphedema might have a fully competent lymphatic system or a compromised lymphatic system that is functional under normal demands but dysfunctional under higher demands for fluid removal. Persons may harbor subclinical lymphedema . In other words, the lymphedema is extremely mild and basically invisible to the person or even a trained examiner. **
Do surgeons ever operate in an area with lymphedema or at risk for lymphedema? Yes.
Is body contouring surgery ever associated with the development of lymphedema? Yes.
in my review of the literature, I could not find a prospective study delineating the frequency of lymphedema development after brachioplasty nor the risk for development of lymphedema with brachioplasty in a post mastectomy arm.
Having had a mastectomy is not a contraindication to having surgery. I would suggest you speak with your surgeon about your concerns. If you decide to proceed with the procedure, I suggest you coordinate with your surgeon for judicious and diligent post surgical compression and even referral to a lymphedema therapist when you are adequately healed for assistance with post op care and initiation of preventive care .