tissue expansion breast reconstruction

I actually have many questions. First, I had a double mastectomy almost 3 years ago with just an expander and silicone implants. Cancer had occurred 3 times, 2 times on the right and once on the left, so I decided to do a double mastectomy. I am still not finished the completion of reconstruction, as the one breast is off center and lower then the other one, and also has a dent in it.

And, it requires what would likely (in the past) be considered an over-expansion of the breast that is to be radiated. Then, it is about a year wait - AFTER - radiation is complete before you put in the implant. As far as silicone vs saline, well, saline will can show wrinkles through the skin - if you have had a skin sparing type of mastectomy. Whereas a silicone implant will not. But, again, you need a surgeon to give you these answers.

I still have to go thru radiation after my tissue expansion.....A positive attitude will help in your recovery! Feel free to send me a private message!

I think that tissue expansion is a good option. It is also well recognized that the loss of a tram flap is a complication that can occur with that surgery. The loss leaves a defect that is undesirable, but unavoidable. It can happen to any surgeon.and patient. If you trust your surgeon, and he has good credentials and a successful history with other patients, then you are not foolish in working with him or her. Just make sure the dr.

I am debating on having reconstruction surgery with the skin expansion. Can anyone let me know how they did with it and what to expect?

Perforator flaps represent the state of the art in breast reconstruction. Replacing the skin and soft tissue removed at mastectomy with soft, warm, living tissue is accomplished by borrowing skin and fatty tissue from the abdomen or hip. This is accomplished without sacrificing muscles and strength. This is the surgery that I had and I'm thrilled with my results.

is it possible for her sister in law to donate her own breast tissue for my mother. my mom will be getting her breast removed but does not want implants and does not want her tummy cut open. couldnt my aunt just give some of her healthy tissue for the surgeon to put in my mothers breast?

I am having a bilateral mastectomy with immidiate reconstruction (expanders). I have been told by my plastic surgeon that this would not be a problem, because any problems that MAY arise due to rads could be fixed. I was also told by my (2nd opinion) breast oncology surgeon that rads dont ALWAYS jack up the implant. However my oncology surgeon is VERY against immediate recon when rads are involved. He thinks I should wait up to a year.

Did the cat scans effect the dcis or is it possible of a pathology or sampling error. There still is no invasion into the breast fatty tissue, however I do have a discomfort under my arm. Of course now, the doctor says that I must have a mastectomy with SNB.

I had radiation of both breast prior to the mastectomys. I am looking into breast reconstruction. I am very active and do not want to have surgery that would use muscle. How succesful is breast expander post radiation?

There are 3 types of reconstruction available. The first is tissue expansion. This is usually eliminated by radiation . The second is Latissimus Dorsi flap[back flap] reconstruction which does utilize an implant but can be used in irradiated patient because fresh skin and muscle are brought in. The third type is autologous tissue, your own skin and fat moved into the mastectomy site.

I had breast tissue expanders inserted during my bilateral mastectomy. The right breast tissue expander later became infected and was removed. It was recently reinserted and is now about 1 to 2 inches higher than the left expander. It looks very lopsided, unlike when the expanders were initially inserted. The saline injections have not yet begun. How can the lopsidedness be corrected before the DIEP-Flap reconstruction, if possible?

Though it may be true that nothing can be done to salvage the implants and the remaining breast skin and tissues, I believe that there are other alternatives or forms of breast reconstruction, mainly through use of myocutaneous flaps (most popular is the TRAM flap). This would require getting a portion of muscles and skin in other areas of the body to be placed or grafted in the breast area.

d like my two scars on my affected breast to be straightened and the scar tissue that makes that breast pucker noticeably when I flex my chest to be released. But, some professionals say that operating on radiated tissue is not a good idea. I want my normal proportions back. That is not vanity as one surgeon told me. It's part of recovery and leaving cancer behind. I'm three years out so far.

I have very little breast tissue and have heard that people with no breast tissue or little breast tissue will get better results if the implants are placed under the muscle. And I will most probably be getting implants within couple of months. I have already talked to a surgeon Dr. Robert Backstein of Steeles Avenue Cosmetic Surgery Clinic in Toronto, but haven't confirmed of getting the surgery. I will be having a meeting with him next week.

Since steriotactic biopsy 6 months ago showed benign fat necrisis, I feel another biopsy will cause more calcs. I had 1 and 1/2 lbs of tissue removed from each breast during lumpectomy and reconstruction, which would cause a lot of scar tissue. I'm sitting tight until April for follow up mammo, but wanted to know if others are dealing with this iisue. Thank you for info.

I was recently diagnosed with a malignant tumor in my segmental lymph node, and most likely will have to undergo therapy. Does anyone know any breast reconstruction places? I know of thisbreast reconstruction site, but does anyone know any others? Thanks! This discussion is related to <a href='/posts/show/477449'>CA Breast and Bone Metastases</a>.

I am scheduled for bilateral skin sparing mastectomy with immediate expander/implant reconstruction in three weeks. I am very nervous as to how the final results of the reconstruction will turn out. My questions are (1) I am currently a B/C cup, so how long will it take to fill my expanders to this size? (2) Do you always need to have expanders first or can immediate implants be placed? (3) How different will the reconstructed breasts look? (Only immediate family knows of my situation).

I opted for bi-lateral mastectomy with immediate reconstruction. I wanted the tissue expanders because with the DIEP Flap procedure, they remove one (or both) abdominal muscles and replace with netting, placing the muscles in the breast cavity. I was just too afraid of having a sagging belly over time. (or more surgery) to say nothing of tummy scars. (ugh!!) I had the saline implants put in once the expanders had done their job.

Because I have very large breast I have asked to get a reduction at the same time of the removal and reconstruction. Both sergeons are concerned because the area of the cancer to too close to the nipple-areolar, which can cause some issue with the reduction. The doctor called me today and said they both think it may be a good idea that I get a masectomy because of the amount of calcifications they see in the right breast and could be a possible sign of becoming malignant.

3 weeks ago I had a breast implant put in 500 cc after a tissue expander. The implant is 4 inches smaller than my other breast and my ps says the only thing that can be done now is a latissimus flap. Can you tell me if you know of other options?

Would a small area of old stretch marks on my tummy exclude me from having a breast reconstruction using the TRAM or DIEP procedure and which would give the best cosmetic result? I am 56 years old. I have also been informed that I could have later surgery to reconstruct a nipple on the reconstructed side and also surgery to reduce and match up my remaining breast.

However, I now have a horrible 3-4 in scar from the surgery, which has left my breast disformed and ugly. Do I qualify for breast reconstruction to fix my breast, and make them uniform again, and will my insurance cover it? ( My husband is active duty military, so I have full military insurance.) Thanks for the input.

Ashikari created this surgery and has done it successfully for many many years. This means they have their breast surgeon remove your breast tissue along with the tail of spence and then they go in and insert implants and you wake up with breasts the size you chose. You will entirely skip the expansion process. Also, depending on where your DCIS is located you may or may not be a good candidate for nipple sparing.

High Risk 3 immediate famlly members with breast cancer 2. Very dense breast tissue,pain, burning and dishcharge from one breast. Do you have a list of questions I should ask?

I am a 3 year survivor. I can feel my breasts with my hands, with my fingertips. If it is pushed up against a counter I don't feel that and that may be a blessing since it wouldn't feel good :) Alot of women are worried about the lack of sensation from a lovers touch that may send tingling down to "other regions" where as I worried about cancer coming back in the remaining breast.

Tissue expansion breast reconstruction

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