Doctor insights on:
Medications That Are Safe To Take Before A Mastectomy
Varies: This is best covered at your anesthesia preop interview. Usually, pain meds are ok except for nsaids like ibuprofen. Antacids are good, though do not eat Tums (calcium carbonate) while fasting as this counts as food. BP meds generally ok, especially beta blockers like metoprolol. Long-acting Insulin held or reduced, short-acting held. It really should be spelled out for you exactly before your surgery. ...Read moreSee 1 more doctor answer
Varies: Are you looking for a surgical time, or are you looking for a time from start to finish? There are multiple reconstructive alternatives which take anywhere from 1 hour additional to 10 hours additional in the operating room. Usually the entire procedure can take upwards of 1 year to fully heal and sometimes longer. ...Read more
It depends: Depents on the size of the breast. Whether or not an axillary node surgery such as sentinel node biopsy and/or axillary node dissection is being done and also the type of reconstruction. Usually muscle flaps take longer than implants. So based on the circumstances it may take somewhere from 3 to 5 or 6 hours. But please realize that the time of surgery is very unpredictable. ...Read moreSee 1 more doctor answer
Varies: The mastectomy would take about an hour, but the reconstruction time would vary based on technique. Tissue expanders for later implants would be another 1-2 hrs, give or take, but free flap tissue transfer reconstruction can take several hours. These general times are variable based upon patient habitus and surgeon differences. Good luck. ...Read moreSee 2 more doctor answers
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
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 moreSee 2 more doctor answers
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
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
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
Unlikely: If the breast tumor is a ductal carcinoma or stage 0 breast cancer than you may not need further therapy. If it is stage 1 or more, you may not need radiation. If it is high risk (lymph nodes involved, triple negative, high oncotype score) you may need chemo and if it is hormone sensitive you may also need a hormone blocker. ...Read moreSee 3 more doctor answers
Local recurrences: After mastectomy there is some breast tissue left along back of skin & chest wall. Ctx is most effective at lowering chance of tumor recurring distantly from breast and lymph nodes by killing microscopic cells n the blood if they r there. Radiation after mrm further reduces the chance of tumor recurring n chest wall or nodes. >4ln's, tumor>5cm, or + margin are indications. Increases survival. ...Read moreSee 1 more doctor answer
When a woman gets a double mastectomy & she opts to have reconstructive surgery, how real are they?
Very: Also depends on reconstructive options chosen.Get a more detailed answer ›
If a woman gets a double mastectomy & she opts to have reconstructive surgery, how authentic are they likely to be?
Very: I've had doctors not realize that a reconstructed breast was in fact reconstructed. ...Read more
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