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Doctor insights on: Reconstruction Surgery After A Mastectomy

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Can I have mastectomy with reconstruction surgery?

Can I have mastectomy with reconstruction surgery?

Almost always: Proper oncologic (cancer) surgery comes first then any closure/recon is usually fine. The main issue/concern is if post mastectomy is anticipated. With implant recon it's a catch22. Xrt causes contracture and can effect the result. If wait, then usually can't stretch tissues fully for the implant. With autologous tissue recon, it should be delayed til after XRT - don't radiate nl healthy tissue. ...Read more

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Dr. Barry Rosen
970 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


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Reconstruction surgery favorable together with mastectomy for ilcis stage 1b, 0.8 cm?

Reconstruction surgery favorable together with mastectomy for ilcis stage 1b, 0.8 cm?

You have options: Your oncologic breast surgeon will discuss your options of lumpectomy vs mastectomy. Once you have made that decision, then reconstructive options can be discussed - immediate vs delayed, autogenous vs expander/implant. ...Read more

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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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How sensitive will i be after a nipple reconstruction? Naturally, i just want an idea of how much sensitivity i can expect in that area after a nipple reconstruction surgery. Will being touched there feel the same is it did before my mastectomy? .

How sensitive will i be after a nipple reconstruction? Naturally, i just want an idea of how much sensitivity i can expect in that area after a nipple reconstruction surgery. Will being touched there feel the same is it did before my mastectomy?

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Varies, not normal: Post mastectomy breast reconstruction is still limited in this day and age to return a perfectly normal breast to a woman. Our current limited goal is to return form or shape to a reconstructed breast but we cannot return the functionality of a breast nor the normal sensation. Having said that, nature is amazing as some patients do get some feeling in their reconstructed breasts in 6-12 months. ...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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Can plavix (clopidogrel) interfere with the healing of reconstructive surgery after a mastectomy? I had a bilateral mastectomy 6 months ago with immediate reconstruction. In oct the one expander broke thru suture line...Causing me to have it removed. Nov

Can plavix (clopidogrel) interfere with the healing of  reconstructive surgery after a mastectomy? I had a bilateral mastectomy 6 months ago with immediate reconstruction. In oct the one expander broke thru suture line...Causing me to have it removed. Nov

Any : Any drug that affects bleeding can interfere with surgical healing. Plavix (clopidogrel) inhibits platelet function and thereby inhibits the ability for blood clots to form. This is good for your arteries (prevents heart attack and stroke), but can present a problem for surgery. Generally, surgeons are able to operate safely while a patient remains on plavix, but if the drug is able to safely be stopped then it is preferable to not operate on plavix. The key decision is to weigh the cardiovascular risk of stopping Plavix vs. The surgical risk of continuing it. If you have had a recent cardiac stenting procedure, then stopping Plavix can be very dangerous. I would suggest that you talk with your cardiologist and ask him/her to discuss your specific case with your breast surgeon. ...Read more

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Does breast cancer reconstruction surgery look natural? I have to undergo a double mastectomy for breast cancer and am deciding whether to have breast cancer reconstruction surgery. Would the surgery leave my breasts feeling hard and unnatural? I might ch

Does breast cancer reconstruction surgery look natural? I have to undergo a double mastectomy for breast cancer and am deciding whether to have breast cancer reconstruction surgery. Would the surgery leave my breasts feeling hard and unnatural? I might ch

No depending on how: Tram flap with your own tissue movement to recreate your breasts may have areas of fat necrosis - hardness. Subpectoral muscle silicone implants are more natural feeling but you may get a capsule a tight feeling . Best answer-- ask your plastic surgeon his experience - they have pictures good and bad to give you an idea of results then you can make an itelligent choice of what is right. ...Read more

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If cancer comes back in the same breast after having a breast-sparing surgery, will I need a mastectomy then? Will I be able to have breast reconstruction even though I have had radiation?

If cancer comes back in the same breast after having a breast-sparing surgery, will I need a mastectomy then? Will I be able to have breast reconstruction even though I have had radiation?

Yes: Yes to both. Since you can't have radiation twice in the same breast, most women need a mastectomy if the cancer returns after breast-sparing surgery. You have several reconstruction options after previous radiation, depending on how your breast tissue responded to radiation. Talk to a plastic surgeon about options. ...Read more

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Can capsular contracture after breast reconstruction be fixed without more surgery? I'm worried about this possible side effect of breast reconstruction. My procedure will be two stages, so between that and my original mastectomy, three surgeries is plent

Breast cancer: I don't want to you feel worse but it typically involves other surgery down the line for maintenance of the implants. Regardless of whether you have breast reconstruction or breast augmentation you are having a medical device. No device is interneded to be permanent. These are man made and potentially need to be replaced every 10 years. ...Read more

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After mastectomy surgery what should I do?

Reach recovery: If this is being done for cancer, and with out reconstruction this is a good organization. Need a little more info to give you a meaningful answer ...Read more