Doctor insights on:
Reconstructive Surgery After Lumpectomy
Will a lumpectomy leave my breasts dramatically uneven? Will a lumpectomy really removed that much tissue that i will need to consider padding my bra to keep things looking symmetrical? What are the most common options for reconstructive surgery on breast
A lumpectomy means removal of a breast lump. It frequently is used in relation to removal of breast cancer. However it can be generalized to removal of other lumps or imaging abnormalities also. Other terminology such as excision, wide excision or a partial mastectomy usually may mean the same thing. If it is done for breast cancer frequently it needs to be ...Read more
Can one have oncolpastic surgery after a lumpectomy or does it have to be performed at the same time?
No : Although, no surgery should be considered trivial - lumpectomy typically takes only 30 - 45 minutes, and may be done under local anesthesia with sedation if the patient's condition warrants it or the patient desires it. Complications are unusual - things like wound infection or bleeding into the lumpectomy site. ...Read more
Natural course: When the body is injured or operated on with surgery, fluid is sent to the area as part of the healing process. In the breast, this is called a seroma. The seroma fills the lumpectomy space. These days we close the space down to decrease the rate of seroma formation. A drain can be placed at the time of surgery to keep the fluid from building up or the fluid can be drained with a needle. ...Read more
Tape irritation...: Use a mild steroid cream and keep away from more tape application. If you want to go the homeopathic route, use traumeel ointment (or cream). It is available online or at most whole foods stores. ...Read more
Unable to be put under general sedation. Need lumpectomy, can a spinal block be used for breast surgery (along with sedation)?
No: Spinal anesthesia is used for surgery on the lower abdomen (such as a c-section) or on the legs. It causes profound numbness, and can't be given at a high level such as the breasts or it would interfere with breathing. Any patient can be safe under general anesthesia with the right precautions. Meet with the anesthesiologist ahead of time to discuss any unusual health issues and plan for them. ...Read moreSee 2 more doctor answers
Variable: There are a lot of variables involved but in general a double mastectomy is a good situation for reconstruction. That is because it is easier to create two similar breasts than to have to match an existing breast. If possible learn about your reconstruction options before the mastectomy. ...Read moreSee 1 more doctor answer
Often very effective: There are many choices available now for women who opt for reconstruction and it is important to seek the opinion of a plastic surgeon with experience in this area. The results will depend on many factors including whether or not you are a smoker and if you receive chemotherapy or radiation therapy. It is important to be realistic - it is not just the same as getting breast implants. ...Read moreSee 1 more doctor answer
Depends: Reconstruction can be done at the time of the mastectomy (and give the better cosmetic appearance) or anytime after the scar has healed. If done later it is typically delayed until any chemo or radiation has been completed and your body has recovered from them. This may take 1-2 years depending on type of chemo and your reactionto it. ...Read moreSee 1 more doctor answer
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