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Tissue Expander After Mastectomy
May need to postpone: If you need chemotherapy following mastectomy, your surgery dates may need to be tailored as chemotherapy can delay wound healing. I typically postpone the second stage of surgery (exchange of tissue expanders for implants) for six weeks following your last chemotherapy. ...Read moreSee 1 more doctor answer
The body is composed of tissue that are classically described as beiing derived from three basic embyonic layers known as the endoderm, mesoderm and ectoderm that then differentiate into the structures that compose the body such as skin, soft tissues, bone, muscle, organs, etc. Stem cells are not differentiated and have the potential to ...Read more
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
Can plavix 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. November, same th
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 moreSee 1 more doctor answer
What is the recovery period after having a tissue expansion treatment done? After my mastectomy, my doctor suggested that I have a tissue expansion procedure done to help reconstruct my breasts. I have just spent a lot of time recovering from cancer, and
First : First and foremost, i wish you health, courage, and strength in your recovery from breast cancer. Tissue expansion is a very common approach to breast reconstruction after mastectomy. Very nice results can be achieved by expanding your own tissue to accommodate permanent breast implants. This approach gives you a lot of control over final size selection, and avoids the risks associated with operations that remove tissue from other parts of your body to replace breast tissue. If i understand your question correctly, you have already had a mastectomy, and are now considering having tissue expanders placed after having healed from the first operation. The operation to secondarily place the expanders involves using the same incision made for the mastectomy, creating a space under your chest muscle (pectoralis major, or "pec"), and sometimes using donor material to create a nicely shaped lower breast contour. There is some tightness and discomfort associated with placing the expanders, and i typically recommend to my patients that they take about a week off of work. Most women who work a desk job can return to their normal job functions in a week and not require narcotic pain meds during the day, but women who work more strenuous physical jobs may need to be off work or on light duty (lifting less than 15 lbs) for about 4 weeks. Depending on your plastic surgeon's preferences, you will likely begin the expansion process about 3 weeks after the surgery to have the expanders placed. This involves coming in to your plastic surgeon's office every 1-3 weeks to have the expanders filled with a moderate volume of saline each time until you reach your desired size. The expansion itself involves minimal discomfort, as a small needle is used to access and fill the expanders. You can return to work on the same day or the day following your expansions. Surgery to place your permanent implants can proceed about 8 weeks after your size goal is reached, and the permanent implants will feel softer and have a much more natural appearance than the filled expanders. All the best to you in your recovery, dr. Skourtis. ...Read moreSee 1 more doctor answer
Weeks: Most women will require hospitalization for 2-3 days for pain control; most may return to a non-strenuous job in (2 to...) 3 weeks. Depending on other treatment, the tissue expansion may start at that point and last for months, culminating in out-patient surgery to remove the expanders and place the permanent implants. I hope this helps! ...Read moreSee 1 more doctor answer
Just had surgery of double mastectomy with tissue expanders, how long recovery and will i need a nurse when i come home?
Can be long: Everyone is different. Expect to spend the night in the hospital and go home the next day. Most people are able to get up and about on their own. There are definite restrictions in your activity but these will mainly be things family members can manage. You will have drains that are very very easy to use and care for. ...Read more
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?
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Please tell me, could someone get cancer again if they have a double mastectomy with reconstruction that uses their own tissue?
Sadly, yes: A person can have a local recurrence in the chest, be it in the skin, the chest wall itself, or residual breast tissue left at the time of surgery. Also, metastases in other organs can happen despite the mastectomies. Do not confuse recurrence of the old cancer with the development of new cancer of the breast. ...Read more
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