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Doctor insights on: Post Mastectomy Breast Reconstruction

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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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Dr. Minas Chrysopoulo
242 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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How is breast reconstruction done after mastectomy?

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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Price for breast lumpectomy vs a mastectomy?

Price for breast lumpectomy vs a mastectomy?

Don't Let Price...: ...Influence your decision. Treatment may require surgery+/-radiationrx+/-chemorx, therefore looking at the cost of these operations alone are misleading. For example, radiationrx is mandatory after lumpectomy, so any price comparison would have to include this. Most importantly, if uninsured, there are many people & hospitals in the healthcare community that will assist cancer patients. ...Read more

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What are the current breast reconstruction techniques after breast cancer surgery?

What are the current breast reconstruction techniques after breast cancer surgery?

Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read more

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What causes hematoma after mastectomy with reconstruction surgery?

What causes hematoma after mastectomy with reconstruction surgery?

Blood: After mastectomy then reconstruction that gets a hematoma is caused by blood. The blood vessels supply oxygen to the breast tissue. This can occur with any surgery and will most likely resolve on its own. It may require drainage. Talk to your surgeon and they will discuss it with you. ...Read more

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What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

Patient-Preference: Most breast cancers can be surgically treated with equal success by mastectomy or lumpectomy (+radiation). Therefore, given the option, most women choose the much less invasive rx of a lumpectomy. Many other issues may factor into this decision--age, family hx, mammogram findings, pathology, etc--therefore, a critical part of one's preoperative evaluation is to fine-tune this recommendation. ...Read more

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Are there scars left post breast augmentation procedures?

Are there scars left post breast augmentation procedures?

Yes: There is always going to be a scar after a surgical procedure. How a scar heals and fades is unique to each person, and can take up to a year. Scars for a breast augmentation can be hidden in the breast fold (underneath the breast), around the areola (dark skin around the nipple), or in the armpit. ...Read more

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Fat transfer breast augmentation surgery vs. Breast implants, which to do?

Fat transfer breast augmentation surgery vs. Breast implants, which to do?

Depends: For smaller volume increases, fat transfer works as well as implants. However for larger volumes, it may take several stages and is more difficult to get the same result as an implant. It also depends on the amount of breast tissue you start with, because fat transfer needs some tissue to survive. Generally speaking, it is more economical to get implants. ...Read more

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Is breast augmentation or reconstruction risky?

Is breast augmentation or reconstruction risky?

Benefits > risks: Every surgery has risks and benefits, so it comes down to what we call the risk/benefit ratio. Silicone breast implants have been studied more than any other medical device and the fda has confirmed that they are safe and effective. Thre are a lot of things to consider however so you should discuss your concerns with your plastic surgeon in detail. ...Read more

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How do surgeons reconstruct the breast after mastectomy?

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 more

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Could mastectomy involve nipple removal?

Yes: Many times mastectomy means removal of the nipple. There is a nipple sparing mastectomy that can be done. I would suggest this be discussed with your surgeon. ...Read more

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Are there any risks to breast re-construction surgery after mastectomy?

Are there any risks to breast re-construction surgery after mastectomy?

If you are in: Reasonably good health , no other systemic problem , it is reasonably low risk procedure (s) , will give you psychological boost to you , will elevate your self esteem , please consult a plastic surgeon for more information , the benefits you already know and the risks ...Read more

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Is breast augmentation surgery painful?

Is breast augmentation surgery painful?

Moderately: Discomfort after breast augmentation surgery varies but most patients will need prescription strength pain medication for about 3 days. ...Read more

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Is a breast reconstruction recommended after a mastectomy?

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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How is breast reconstruction done after tumor removal?

How is breast reconstruction done after tumor removal?

Lots of options: Basically there are 2 options for breast reconstruction after tumor resection. Option #1 is to move some of the patient's own tissue from another site to the breast. This is a great option, but not for everyone, as the surgery can be long and complicated. Option #2 is to use a breast implant to replace the missing breast tissue. Best to discuss with a board certified plastic surgeon. ...Read more

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After breast augmentation has the surgery affected nipple sensation?

After breast augmentation has the surgery affected nipple sensation?

It is possible: One of the potential risks of breast augmentation surgery is decrease or loss of nipple sensation. The published risk is about 10%. The nerve that gives the nipple sensation can be injured when the pocket that will contain the implant is created. If the nerve is injured or worse yet cut, there may be temporary or permanent loss of nipple sensation. ...Read more

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Cohesive implants 280cc with lift , 7 week post op fearing displacement?

Cohesive implants 280cc with lift , 7 week post op fearing displacement?

Post Op Care: Surgeons are always on the look out for complications following surgery. You would have been given specific instructions after surgery on what to watch for and how to contact your surgeon should a complication arise. Given your worry it is time to sign off of the internet and to contact your surgeon. ...Read more

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Bilateral mastectomies & lat tram reconstruction, what to do?

Bilateral mastectomies & lat tram reconstruction, what to do?

Bilateral mastectomy: Without the use of prosthetic implants like saline or silicone, your surgeon perhaps feels one or the other muscle flaps is best suited for you. If you are having radiation now or later, implants alone may not be helpful. Microsurgical DIEP and modified DIEP flaps may also be considered. An exam doctor to patient can only determine what is best. . ...Read more

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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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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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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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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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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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Can you tell me about breast reconstruction after mastectomy using dermis?

Can you tell me about breast reconstruction after mastectomy using dermis?

Dermis: Dermis, which is the inner layer of skin, can be harvested from the abdomen (or other areas) to use with tissue-expander or implant-based breast reconstruction. This is used in place of acellular dermal matrix, which is derived from pig skin. The use of dermis is different from a TRAM or DIEP flap, which uses skin, fat, and the attached blood vessels for "autologous" breast reconstruction ...Read more

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Can you tell me the side effects of mastectomy? What about breast reconstruction?

Many!: A mastectomy removes the entire breast including the nipple. It leaves a diagonal scar about 6 inches long. Pain is minimal; most women report numbness of their chest. A flexible tube drains fluid from the incision for 2-3 weeks. Reconstruction can be done at the same time as the mastectomy or later. For info on reconstruction options, check out http://www.Breastcancer.Org/treatment/surgery/. ...Read more

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If I am advised to have a mastectomy, what are the risks and benefits of immediate breast reconstruction?

If I am advised to have a mastectomy, what are the risks and benefits of immediate breast reconstruction?

Immediate breast rec: The benefits of immediate reconstruction include the amount of skin available to cover a flap, or implants, the reduced number of surgeries, the psychological benefit, and perhaps, superior cosmetics. The downside is a higher risk of complications, and possible changes in therapy, such as radiation, based on the final pathology, that may affect the quality of the reconstruction. ...Read more

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Can I have my breast reconstruction done to make my breasts bigger than they were pre-mastectomy? I've always wanted  bigger breasts, but didn't want augmentation surgery. Now that I'm going to need breast reconstruction after a double mastectomy, I'd lik

Can I have my breast reconstruction done to make my breasts bigger than they were pre-mastectomy? I've always wanted  bigger breasts, but didn't want augmentation surgery. Now that I'm going to need breast reconstruction after a double mastectomy, I'd lik

Discuss with Surgeon: Discuss your goals with your plastic surgeon. It may be helpful to show him/her goal pictures. Depending on how much skin is present and what type of reconstruction you undergo, your goals made or may not be achievable. Best wishes. ...Read more

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Supposing you get a prophylactic mastectomy, can doctors do breast reconstruction?

Supposing you get a prophylactic mastectomy, can doctors do breast reconstruction?

Yes: Prophylactic mastectomy is performed under certain situations. Once mastectomy is performed, there are various options for breast reconstuction. The most common method is tissue-expansion/implant reconstruction. Autologous breast reconstruction, which uses your own tissue, with or without implants, is another option. Not everyone is a good candidate for each option. Discuss with your surgeon. ...Read more

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Will i need to keep getting mammograms after breast reconstruction? Is there enough of my own breast tissue left after mastectomy and breast reconstruction to make imaging worthwhile? .

Will i need to keep getting mammograms after breast reconstruction? Is there enough of my own breast tissue left after mastectomy and breast reconstruction to make imaging worthwhile?

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Yes and No : If you had a single breast complete mastectomy, no more mammogram on that side. However, if you did not have both breast mastectomies, you still have the other bresst that is at increased risk given the history. So you need to continue screening mammograms for the other breast. ...Read more

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What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

Patient-Preference: Most breast cancers can be surgically treated with equal success by mastectomy or lumpectomy (+radiation). Therefore, given the option, most women choose the much less invasive rx of a lumpectomy. Many other issues may factor into this decision--age, family hx, mammogram findings, pathology, etc--therefore, a critical part of one's preoperative evaluation is to fine-tune this recommendation. ...Read more

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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 more

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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 more

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Mum had a breast cancer;she did a mastectomy. She had 1/12 affected node she wants to do a breast reconstruction what do you think about that

Mum had a breast cancer;she did a mastectomy. She had 1/12 affected node she wants to do a breast reconstruction what do you think about that

+ lymph and BR: 1/12 nodes considering the tumor was rather small means that she will likely need chemo but hopefully not radiation. In either way she would be a great candidate for breast reconstruction. The radiations makes it more difficult but still a great option when it comes to restoring the body to its normal state. ...Read more

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Does a growing lump on a one-stage immediate breast reconstruction after mastectomy because of cancer followed by a tissue flap procedure meancancer?

Does a growing lump  on a one-stage immediate breast reconstruction after mastectomy because of cancer followed by a tissue flap procedure meancancer?

Must get it checked: A new lump doesn't necessarily mean cancer, but you definitely must get it checked out to be sure. New lumps can appear after mastectomy and reconstruction, more with flap surgery than implants. More often than not, it is fat necrosis (hard fat) or scar tissue. Fat turns hard when the blood supply to that area isn't quite as good as it should be. Neither fat necrosis or scar tissue are harmful. ...Read more

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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

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 more

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Is there a chance of getting cancer in the tissue of the breast reconstruction? I am considering getting breast reconstruction after having a mastectomy. I am nervous about whether i could get breast cancer again. Is the tissue where incisions and cuts we

Breast Cancer: Breast cancer will not develop in tissue that is used to perform breast reconstruction. Bc develops in tissue left behind or near the site of tumor removal. If there is concern about the ability to check for cancer recurrence such as when a tumor is close to the chest wall then i suggest the case be reviewed by the tumor board so that a clear plan for surveillance is understood before a recon! ...Read more

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Dr. Barry Rosen
985 doctors shared insights

Mastectomy (Definition)

A mastectomy is complete removal of all visible breast tissue. Different variations exist, some of which spare some or all of ...Read more