Hartford Breast Reconstruction doctors
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David Greenspun, MD, MSc
New York Plastic Surgeon
77 Lafayette Place Suite 302, Greenwich |
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Steven A. Belinkie, MD
Hartford Plastic Surgeon
1000 Asylum Avenue Suite 2107, Hartford |
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John Borkowski, MD
Hartford Plastic Surgeon
85 Church Street Ste 500, Middletown |
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Orlando DeLucia, MD
Hartford Plastic Surgeon
85 Seymour Street Suite 401, Hartford |
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Jonathan Schreiber, MD
Hartford Plastic Surgeon
1 Barnard Lane Suite 102, Bloomfield |
Recent Answers
I had DIEP flap surgery 4 weeks ago, breasts are fine, some issues with the tummy incision. my incision started to separate 3 weeks later. saw my PS and he saw infection, so I am on an anti-biotic now, and he said to keep a dressing on it, keep an eye on my temp. I see him in another week to take a look I am an ex-smoker, quit a few weeks before surgery. I have searched everywhere for information but have come up dry. about 1/2 inch deep and 6-7 inches along my incision
I agree with the other surgeons who have responded. Wound complications and infections can occur after DIEP flap surgery and it sounds like your surgeon is working to help get the wound closed. The human body has a remarkable ability to heal in situations like this. Make sure you continue to see your surgeon regularly. It sounds like this will take some time to fully heal, but in most cases, it will not compromise your results in the end.
Will a surgeon do Breast Reconstruction after MRSA? I've had no flair ups for 3 years.
The simple answer is yes- it is certainly possible to have breast reconstruction after a MRSA infection.
In my practice, I always use preoperative antibiotics to help prevent infection-in the case os women who have had MRSA before, I choose an antibiotic effective against MRSA in case they are still carriers of MRSA on their skin or mucous mambranes. We all have lots of bacteria on our skin, and carrying MRSA does not mean someone is more likely to get an infection, it just means that different antibiotics are effective against MRSA as opposed to non-MRSA bactera.
I was diagnosed with breast cancer in 2009; had a bilateral mastectomy and LN dissection with reconstruction done during this surgery (expanders placed). Underwent chemo and had radiation to the left breast. In December developed a cellulitis to the left breast took about a month of augmentin and was fine until a few days ago. Again I have pain and redness to the left breast and a fever. Is it time to say this cannot be saved and have the expander removed and go ahead with a LD flap in May?
When radiation is used in the treatment of breast cancer, non-cancerous tissues in the path of the radiation are also affected. Radiation therapy can mean a significant loss of skin elasticity, which can profoundly affect the aesthetic results of breast reconstruction. And because the body’s wound-healing mechanisms are altered by exposure to radiation, complications from all types of reconstructive breast surgery occur at a higher rate.
Radiation is especially problematic for women who undergo implant reconstructions, regardless of whether the radiation is administered before or after the implant is placed. Natural-tissue reconstruction has the benefit of bringing non-radiated, healthy, well-vascularized tissue to the mastectomy site, and this can actually aid in the healing process.
Because of the potential complications associated with implants, breast reconstruction using natural tissue is generally considered the best method for women who will require or have already had radiation. Based upon the brief description you provided, consideration should be given to removing the implant and then proceeding with a natural tissue reconstruction a few months later (when the infection has fully cleared). Most women do not have nough tissue to reconstruct a breast using an LD flap without an implant, but other locations on the body frequently do have enough tissue to reconstruct a breast in proportion to a woman's body. The buttocks, thighs, abdomen and love-handle areas are all possible options for donor site for tissue for breast reconstruction.
While radiation therapy can complicate breast reconstruction surgery, with proper preparation most women can achieve a satisfactory reconstruction even if radiation therapy is part of their treatment plan. Perforator flaps including the DIEP flap, SIEA flap and SGAP flap are all used routinely with excellent results to reconstruct patients who have required radiation therapy.
