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Doctor insights on: Breast Reconstruction And Infection

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When should you consider breast reconstruction?

When should you consider breast reconstruction?

As soon as possible: I understand that receiving a breast cancer diagnosis is very difficult. That being said, as soon as you speak to your breast cancer surgeon, you should always inquire about the options for reconstruction, even if you are having breast conserving surgery. You may consider to have a procedure to match your other breast to the affected side. ...Read more

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Dr. Minas Chrysopoulo
241 doctors shared insights

Breast Reconstruction (Definition)

Breasts can be reconstructed using implants or a patients own tissue. If you use your own tissue either a flap (attached to the body) or free fat can be transfered to the breast. Using your own tissue requires a donor site on your body. Implants can be used to replace the lost breast tissue. The implant is placed under the breast muscle. Nipples and areola ...Read more


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When should someone have breast reconstruction?

When should someone have breast reconstruction?

Depends: Breast reconstruction is most commonly performed after mastectomy or lumpectomy for breast cancer. For years, delayed reconstruction was the norm. That meant women underwent their mastectomy, recovered, and then came back months or years later for reconstruction. Today, we are seeing more and more immediate reconstructions, this is when women have their reconstruction at the initial operation. ...Read more

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What are the known risks of breast reconstruction?

What are the known risks of breast reconstruction?

Depends on Method: The two types of reconstruction are "flap" procedures, where tissue is transferred from the abdomen or back to the chest, or implants. Both have low risks of bleeding, infection, fluid build-up, etc. The flap procedure runs the small risk of failure; the implants can cause hardening around the capsule or even rupture. In general, these are low-risk procedures in healthy women. ...Read more

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What are pros and cons for breast reconstruction.?

What are pros and cons for breast reconstruction.?

For cancer or want?: Presuming for cancer: PROS: Improved body image, better fit for clothing, sense of "wholeness," giving symmetry to chest, psychological improvement, reducing grief over loss of "womanhood," and control over your treatment. CONS: Extensive surgery which may affect other areas, sometimes several surgeries, risk of complications, asymmetry, infection, unhappiness with results, cost. Good luck! ...Read more

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Why might I need breast reconstruction surgery?

Why might I need breast reconstruction surgery?

To Rebuild a Breast: Breast reconstruction is the rebuilding of a breast, usually after surgery for breast cancer (mastectomy or lumpectomy), or surgery to prevent breast cancer ("prophylactic mastectomy"). Non-cancer related reasons to need breast reconstruction include congenital breast absence (eg poland's syndrome), and to reconstruct after mastectomy performed for severe infection or tumors like phyllodes. ...Read more

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What happens in a breast reconstruction surgery?

What happens in a breast reconstruction surgery?

Depends: Breast reconstruction performed with a tissue expander results in a device placed beneath the skin and muscle which gradually is filled with saline after your surgery. Each fill results in the skin stretching more and more to accommodate a permanent implant which would be placed at a second surgery. A nipple would be reconstructed at a third procedure. ...Read more

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Should I consider breast reconstruction after masectomy?

Should I consider breast reconstruction after masectomy?

Personal choice: Breast reconstruction isn't for everyone but it certainly offers several benefits. The most significant benefit is not having to experience living without a breast. Reconstruction can be performed at the same time as the mastectomy ("immediate reconstruction"), or any time after ("delayed reconstruction"). There are many reconstructive options ranging from breast implants to using your own tissue. ...Read more

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What are the criteria for breast reconstruction surgery eligibility?

Depends: There are a lot of different decisions that go into breast reconstruction. It is not a "one size fits all" problem and criteria are based not only on the cancer but also on the person. It is best to have a discussion with a plastic and reconstructive surgeon to determine what type of reconstruction is best for you. ...Read more

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How is breast reconstruction done after mastectomy?

Lots of ways: There are many options these days for reconstruction; some simple and some complex depending on each patients needs and desires. Talk with a plastic surgeon or try www.Plasticsurgery.Org. Good luck. ...Read more

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Could you have radiation after breast reconstruction?

Could you have radiation after breast reconstruction?

Breast cancer: I currently recommend that my patients have immediate breast reconstruction regardless of the need for post mastectomy radiation therapy. The simple reasoning is that it is the best opportunity to utilize the breast skin. I prefer to do a diep flap or another flap reconstruction when i know a patient is going to have radiation. I then manage any decrease in size or change in shape with fat graft. ...Read more

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How well does breast reconstruction work after cancer?

Very nice option: For those who desire breast reconstruction, there are many option which may use a combination of implants, flaps and more recently fat grafting. This generally takes a few procedures for ideal results. See a plastic surgeon to discuss the many choices available to you. ...Read more

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Is there such a thing as a breast reconstruction surgeon?

Is there such a thing as a breast reconstruction surgeon?

Not really, because: Almost all plastic surgeons perform some type of breast reconstruction. There are some who specialize in this area who may perform more complex types of reconstruction. Your surgeon should be certified by the american board of plastic surgery and have an interest and experience in breast reconstruction. ...Read more

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Is a breast reconstruction recommended after a mastectomy?

Up to the patient: This is a complex question, but in almost all cases the choice is up to the patient. Reconstruction can be done at the time of mastectomy or later on; both have advantages and disadvantages. I would recommend consultation with one or more plastic surgeons experienced in breast reconstruction to explore the options in your particular case. ...Read more

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What is involved with post mastectomy breast reconstruction?

What is involved with post mastectomy breast reconstruction?

Multiple steps: There are several reconstructive options which can be performed at the same time as mastectomy or any time later. Not everyone is a candidate for immediate reconstruction. Options range from breast implants to "flap" surgery which use the patient's own tissue to recreate a "natural", warm, soft breast. The nipple and areola can also be reconstructed. Typically more than one surgery is required. ...Read more

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Can I have breast reconstruction at the same time as mastectomy?

Can I have breast reconstruction at the same time as mastectomy?

Most women can: Immediate breast reconstruction allows the patient to wake up from the surgery "whole" and avoid the experience of a flat chest. Having the reconstruction at the same time typically leads to nicer results and less scarring compared to delayed reconstruction (reconstruction performed some time after mastectomy). Most women with early breast cancer (stage 1 or 2) or brca+ are candidates. ...Read more

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Could I have breast reconstruction at the same time as my mastectomy?

Could I have breast reconstruction at the same time as my mastectomy?

Yes: Breast reconstruction is often done at the same time as mastectomy, depending on the type of reconstruction and the type of breast cancer. Inflammatory breast cancer is one type where reconstruction should not be done right away. Your breast surgeon and your plastic surgeon will work together to determine what's right for you. ...Read more

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Is there a chance of getting cancer in the tissue of the breast reconstruction?

Is there a chance of getting cancer in the tissue of the breast reconstruction?

Usually in skin: Yes there is a chance of cancer in the skin or surrounding areas following breast reconstruction. This can occur regardless of the method of reconstruction and is more reflective of the type of cancer and the treatment. However this should not stop you from considering reconstruction. ...Read more

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Can you tell me about breast reconstruction after mastectomy and complications?

Can you tell me about breast reconstruction after mastectomy and complications?

Breast Cancer: This is a great question. The issue is how safe is it to be under anesthesia for longer periods of time. The short answer is it is very safe. I perform the diep flap breast reconstruction surgery and it takes longer because of all of the steps. These patients do extremely well after surgery and have had the benefit of removal of the lower abdominal tissue just like I do for a tummy tuck. ...Read more

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Will breast reconstruction leave scars on other areas of my body from borrowed tissue?

Will breast reconstruction leave scars on other areas of my body from borrowed tissue?

Yes: If your abdomen is used, the scar will be like a tummy tuck scar, in the lower abdomen and around the belly button. If it is taken from your back, it is in your back and can be placed in a way to hide it under the bra. ...Read more

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What are the advantages & disadvantages of immediate vs. Delayed breast reconstruction?

What are the advantages & disadvantages of immediate vs. Delayed breast reconstruction?

See below: There is a tendency after healing from a major surgery to have a hard time motivating for further surgery and this may cause you to avoid or delay the reconstruction or extend your time recovering. While mastectomy is difficult no matter what, it is a signficant psychological benefit to recover from surgery with the first step of reconstruction already underway. ...Read more

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Dr. Dariush Saghafi
9 doctors shared insights

Infection (Definition)

Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more