Bronx Breast Reconstruction doctors

Barry H. Dolich, MD Barry H. Dolich, MD
Bronx Plastic Surgeon
1200 Waters Pl Hutchinson Metro Center, Ste M106, Bronx
3 answers
Robert D. Goldstein, MD Robert D. Goldstein, MD
Bronx Plastic Surgeon
2425 Eastchester Rd 2nd Floor, Bronx
3 answers
Stephen R. Colen, DDS, MD Stephen R. Colen, DDS, MD
Manhattan Plastic Surgeon
742 Park Avenue, New York
Douglas S. Steinbrech, MD Douglas S. Steinbrech, MD
New York Plastic Surgeon
60 East 56th Street 3rd Floor, New York
Luis Zapiach, MD Luis Zapiach, MD
Paramus Plastic Surgeon
1 West Ridgewood Avenue Suite 302, Paramus

Recent Answers

Reconstruction after mastectomy and radiation

I had a right mastectomy in March of this year and was planning on having immediate reconstruction; however, one of the lymph nodes had a tiny bit of cancer in it so they did not do that.  I did have radiation and completed that in June, but did not require chemotherapy.  I am planning on having a TRAM flap and having my left breast reduced and lifted to match the right one (I wanted to be smaller).  Would it be reasonable for me to plan on having this done next March or April?  I have been very diligent about putting Aloe gel on my radiation site, am getting my strength back (even stopped working to speed my recovery) and am working out about 4 times a week (I'm 57).  I want to get this done and move on with my life.  I am VERY self-conscious about going out with the "one breast" and wear big shirts to camoflauge, and only wear the bra & prosthesis when line dancing as it is very uncomfortable. I would appreciate any help you could give me - thank you! Pam Murchison

A: Optimizing reconstruction results after radiation

A quick check list that I recommend:

1. Moisturize skin 2x daily with Calandula Lotion

2. Build up to 50 sit-ups per day to increase blood flow to rectii.

3. NO SMOKING OR SMOKE FILLED ENVIORMENTS!! 

4.Ask your surgeon about taking calcium channel blockers

Barry H. Dolich, MD
Bronx Plastic Surgeon
How Long is It Possible for my Breast to Drain?

Dec. 20th I had reconstruction. It has been almost 10 years since my mastectomy, radiation, and chemo. He put an expander in (took the implant out that had been contracted in the breast), did a latissimus flap with skin graft. The graft did not take and Dec 29 it was removed and the incision restitched. The breast drain tube fell out; Jan 17 I went back into surgery to reinsert the drain. For 53 days I have been confined to bed @ a 45* angle. How much longer can this go on. Draining 31 ml

A: Persistent draiing?

This a long time and an infected implant needs to be considered.  Have there been any cultures and have you been on antibiotics?  i would suggest a second opinion.

Robert D. Goldstein, MD
Bronx Plastic Surgeon
A: Can I Have Immediate Reconstruction if I Need Radiaton Afterward?

For the most part it is better to have the reconstruction after the radiation.  Also we do not to do an implant reconstruction in the face of radiation.  There are a number of cases where a tissue expander is placed at the time of the mastectomy and kept there as a spacer.  The radiation is given with the expander in place and then removed and the breast reconstructed with a perforator flap.  This has been very successful in our patients.

Robert D. Goldstein, MD
Bronx Plastic Surgeon
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