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Friday, November 13, 2009 Boobear asks

Q: breast reconstruction

In July 2008 I underwent a bi-lateral masectomy for bi-lateral breast cancer. I opted for immediate reconstruction and my only option was expanders which were placed right after the masectomy.  I recently had the second stage of my reconstruction, what was suppose to be a 1 1/2 hr surgery turned into a 5 hr. surgery. As soon as an incision was made, my expander just popped out. In both cases neither expander had been placed under the muscle which from what I understand is standard. My skin only measured 2 mm, I suffered 3 infections and I'm being told that since the expanders were so close to my skin, it is not a surprise. When I had a surgery back in Jan. 2009, an abcess was discovered so my previous doctor made a zig zag incision. I have been told that this type of incision can cause tissue to die because of the lack of blood flow. I am extremely devastated over the latest news. It has been suggested that I start all over. It has already been 16 months since my masectomy.

Can anyone tell me why a board certified plastic surgeon would do something like this?

Why would my expanders be placed on top of my muscle???

 

Boobear

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Answers (1)
11/16/09 10:04pm

I honestly cannot say why your doctor would placr the expander above the muscle, as it is my understanding and experience for it to be placed below.  I do however think that it may be a good idea to start over again, even though you may not want to.  The reason I suggest this is because I have been through 11 breast procedures, 7 of which were related to reconstruction and/or complications.  I've dealt with dying tissue, hematoma, a hole in my chest for 3 months, and numerous problems with scar tissue.  I know this is a setback for you, but it really may be what's best.  First I think I would start with a second opinion, perhaps a more experienced plastic surgeon might be able to save the tissue?  It doesn't hurt to ask.  But if the tissue cannot be saved, it's better to start over again, than to risk more infections, and complications further down the road.

Good luck!

Angi

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11/16/09 10:33pm

Hi Angi,

 

Thanks for answering my questions? After reading what you have gone through, I shouldn't complain.

I hope things are going well with your situation.

Just to let you know, the doctor that did my surgery on Nov. 4th, was my new doctor.

I feel I am now in capable and competent hands. Unfortuantely for him, he is having to clean up someone elses mess. Everybody I have talked with says that the expanders are always placed under the muscle, for several reasons. I just don't understand why my previous doctor would not do this.

 

I meet with my new doctor tomorrow for my first post-op, I am really curious to see what he has to say.

 

Boobear

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By Boobear— Last Modified: 12/07/10, First Published: 11/13/09