Doctor insights on:
Tissue Expander After Mastectomy
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
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 moreSee 2 more doctor answers
How long after breast reconstruction implants placed after 4 months of tissue expanders does the swelling go completely down?
Varies: Most swelling after surgery resolves by 6 weeks or so. However, a lot depends on what was performed exactly. Swapping out expanders for implants is usually quite straight forward. Sometimes more extensive surgery is required for the best results eg removing scar tissue, reshaping (internal, external, or both), fat grafting, etc. Your plastic surgeon will know best for your specific situation. ...Read moreSee 3 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
Breast surgery: This article provides guidance: http://www.drjjwendel.com/breast-tissue-expander-replacement-implants-recovery-instructionsGet a more detailed answer ›
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 4 more doctor answers
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
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 moreSee 1 more doctor answer
Fairly painful: Pain after mastectomy and reconstruction is more severe than after a mastectomy alone. However, the pain threshold and tolerance is very different in different patients. If you are going to have this procedure, your surgeons will prescribe sufficient doses of pain medication to alleviate the pain and make you more comfortable. ...Read more
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
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
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 moreSee 4 more doctor answers
Yes: Adhesions can develop after a knee surgery which limit motion and can be removed (typically arthroscopically), however the reason for stiffness should be fully evaluated before considering this. Most common causes are malpositioned acl graft or inappropriate size or position of total knee components. If this is the case revision of the primary procedure is required. ...Read moreSee 1 more doctor answer
What are possible complications from removing capsular contractures (hardening of breast tissue after breast augmentation)?
Usual Suspects: Bleeding, infection, recurrence of capsular contrature, thinning of the breast tissue, scar formation and breast implant malposition are among the more common problems that can occur. The upside is softer breasts and pain relief if you are experiencing soreness in the breasts currently. ...Read moreSee 5 more doctor answers
When dealing with breast cancer when are you considered cancer free? After mastectomy? After last chemo tx? After reconstruction?
Can surgery cause a rise in a ca 27-29 tumor marker two months after reconstructive diep flap surgery?
No: This is a tumor marker...So like all tumor markers, its value is variable. So we use it, yet not rely on any single reading because the test results fluctuate. Because of this, many doctors do not use this test. Those who use it, are cautious not to take any one value on its face value and end up repeating it 2-3 different times. So i would ask your doctor to recheck it once or twice over 3-4 mos. ...Read more
No.: No you do not need surgery if a complete pathological response has occurred. ...Read more
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