Doctor insights on:
How Do Surgeons Reconstruct The Breast After Mastectomy
Implants v. "Flaps": In general, there are two different techniques for reconstruction following a mastectomy. In one, tissue expanders are placed under the chest wall muscles and then are slowly expanded over months until "new" skin forms; they are then removed and replaced by implants. The other technique involves transferring tissue from one part of the body such as the abdominal wall or back to the chest wall. ...Read moreSee 2 more doctor answers
Transverse incision: is more popular than oblique (cut) it is more cosmetically better accepted by woman , can wear low cut dress with out showing the scar , will make breast reconstruction easy , will have less tension so less pain and heals better ...Read more
Can care less about having breasts. Will a surgeon perform a mastectomy on me for the purposes of helping my back pain?
What exactly does a breast reconstruction tissue expander do? It's been almost a year since my mastectomy. During my breast reconstruction consultation, my surgeon mentioned using a tissue expander to make room for my new breast. How does this work?
It Expands..: After a mastectomy, assuming you are going to have an implant reconstruction, a space needs to be created to accomodate a soft implant. A tissue expander is like a deflated balloon that the doctor pumps up in their office (usually weekly) afte putting it in flat. It creates the space for a permanent implant to be put later. ...Read moreSee 2 more doctor answers
Does the same surgeon who does the mastectomy also do the breast reconstruction? I got a referral to an excellent surgeon for my mastectomy, and during the consult, he told me I should think about whether i want an immediate breast reconstruction. It didn
No,a plastic surgeon: No, usually your breast oncologic surgeon performs the mastectomy and refres you for reconstruction to a plastic & reconstructive surgeon.An immediate breast reconstruction is a common procedure that is performed at the same time as the mastectomy.The type of surgery varies depending on your choice, your body size and shape and your plastic surgeon.Creation of a breast mound is the first operation. ...Read moreSee 2 more doctor answers
Is it safe to have breast reconstruction done at the same time as a mastectomy? My surgeon has said we can do the mastectomy and then immediately do the breast reconstruction. I like the idea, but am worried about the extra time that would take. Is it saf
Yes: An expander can be placed at the time of mastectomy. This is a temporary space filler that allows you to complete chemo and/or radiation and then complete the final reconstruction months later. This is know as immediate-delayed reconstruction. Speak with the breast surgeon and plastic surgeon for details. ...Read moreSee 2 more doctor answers
23andme shows I have a gene that increase breast cancer risk by 1.2. My mom has the same variant and got breast cancer at 53.I plan to get a prophylactic mastectomy because of this.Do I see a surgeon?
Yes: You should see a surgeon who specializes in breast cancer. H/s should be board certified by the Am. Board of Surgery. They will have a relationship with a Plastic Surgeon they will send you to. Do reasearch. The surgeon should discuss both expander/implant as well as autologous options (most will skip over autologous) and be board certified by the Am. Board of Plastic Surg. www.abplsurg.org ...Read moreSee 1 more doctor answer
Diagnosis of +ER, PR-, HER2- , prob luminal B of two masses in left breast.
Do you agree with treatment of radical mastectomy, chemo and tamoxifen?
Is tamoxifen taken for 5 or 10 years?
Should patient get PET scan? Surgeon said no need for PET scan an
Let PMD decide: Let your PMD decide. Net- med will be too inappropriate for this. ...Read more
Various techniques: Techniques for breast reconstruction have changed over the years. Most reconstruction is implant based -- either using a tissue expander to help stretch the muscle and skin before using an implant, or direct to implant reconstruction. Surgeons can also use flaps which transfer soft tissue, +/- skin, +/- muscle. These may come from the belly, the back the buttocks or the thighs. ...Read moreSee 2 more doctor answers
Maybe: It depends on the type of reconstruction technique, timing of it, and scar already on the chest wall. Immediate reconstruction after skin sparing mastectomy gives the best result cosmetically, but if delayed reconstruction is known at the time of mastectomy a skin sparing technique can also be used which will look better. Nipple spring technique is also becoming more popular. ...Read more
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