Top
20
Doctor insights on: Tissue Expander After Mastectomy

Share
1

1
Tell me about chemotherapy after mastectomy and tissue expander?

Tell me about chemotherapy after mastectomy and tissue expander?

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 more

See 1 more doctor answer

Tissue (Definition)

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


2

2
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

See 3 more doctor answers
4

4
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

See 1 more doctor answer
5

5
Surgery of double mastectomy with tissue expanders. How long is the recovery?

Surgery of double mastectomy with tissue expanders. How long is the recovery?

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 more

See 1 more doctor answer
6

6
Just had surgery of double mastectomy with tissue expanders, how long recovery and will I need a nurse when I come home?

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

8

8
Please tell me, could someone get cancer again if they have a double mastectomy with reconstruction that uses their own tissue?

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

9

9
Is it likely for men to donate breast tissue to women who have undergone mastectomys?

Is it likely for men to donate breast tissue to women who have undergone mastectomys?

Tissue transplant: Between individuals require tissue matching and immunosuppresant meds which can be complicated and sometimes even dangerous. So it is usually reserved for internal organs which are necessary to sustain life. Breast transplants are not worth this risk. ...Read more

See 1 more doctor answer
11

11
Is mastectomy only way for me to get rid of painful scar tissue and cysts inside my breasts?

Is mastectomy only way for me to get rid of painful scar tissue and cysts inside my breasts?

Possibly: But seek opinion of breast surgeon. Subcutaneous mastectomy and implants may be a choice depending on he specific anatomy. ...Read more

See 1 more doctor answer
12

12
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? .

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

See 4 more doctor answers
13

13
Radical mastectomy is a type of surgery for breast cancer that involves removing all of the breast tissue, is this true?

Radical mastectomy is a type of surgery for breast cancer that involves removing all of the breast tissue, is this true?

Yes: A radical mastectomy is an older operation that is not performed anymore. It involved removing the entire breast, the pectoralis major muscle and all of the lymph nodes underneath the arm. A modified radical mastectomy might be what you are asking about. This operation removes the entire breast along with all of the lymph nodes underneath the arm. ...Read more

14

14
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

See 1 more doctor answer
15

15
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

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

See 3 more doctor answers
16

16
10 yr bc survivor. Cxr showed a solid nodule in lung, or in chest wall. What's the difference of lung and chest wall? Scar tissue fm mastectomy?

10 yr bc survivor. Cxr showed a solid nodule in lung, or in chest wall. What's the difference of lung and chest wall? Scar tissue fm mastectomy?

Need Further Work-Up: The chest wall refers to the ribcage and muscles that cover them; the lungs are within the rib cage. A solid nodule in either location, especially if it is new, requires further testing & possible biopsy to determine if it is cancerous or scar tissue; this should begin with a (pet) ct to determine exactly where this nodule is. ...Read more

See 1 more doctor answer
17

17
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 more

See 1 more doctor answer
18

18
If I had breast cancer, mastectomy, and implant on left side, will mammograms be able to pick up new tumor in leftover tissue?

Not needed: Mastectomies, by definition, involve removal of (almost) all of the breat tissue present. While it is true that microscopic amounts of breast tissue can be left behind, this is not amenable to mammographic evaluation, regardless of whether a reconstruction was done. Careful physical examination remains the best way to screen for local cancer recurrence following a mastectomy. ...Read more

See 2 more doctor answers
19

19
What can be expected after a breast tissue expander exchange?

What can be expected after a breast tissue expander exchange?

Breast surgery: This article provides guidance: http://www. Drjjwendel. Com/breast-tissue-expander-replacement-implants-recovery-instructions ...Read more

20

20
Is it safe for a 2nd tissue expander to continue expanding breast area for reconstructive surgery?

Is it safe for a 2nd tissue expander to continue expanding breast area for reconstructive surgery?

Site specific: More info is needed to give an exact answer. ..But if it is placed in the proper distance etc it should be ok. Timing also very important. ...Read more

Dr. Barry Rosen
977 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