Philadelphia Breast Reconstruction doctors

	Jonathan Saunders, MD Newark Plastic Surgeon 62 Omega Drive Building E, Newark		8 answers
	David A. Bottger, MD Philadelphia Plastic Surgeon 3855 W. Chester Pike Suite 230, Newtown Square		2 answers
	Daniel Del Vecchio, MD Boston Plastic Surgeon 38 Newbury Street Fifth Floor, Boston		2 answers
	Evan Sorokin, MD Cherry Hill Plastic Surgeon 1734 Route 70 East, Cherry Hill		1 answer
	Richard L. Dolsky, MD Philadelphia Plastic Surgeon 191 Presidential Blvd Suite 105, Bala Cynwyd		1 answer

Recent Answers

Saline Implant Rupture After Reconstructive Surgery Hi! I am a 28 year old who had BMX with immediate recon with TE's in Janauary 2011 and (saline)implant exchange surgery April 2011. In the last 3-4 weeks I have noticed that one of my implants was much more "jiggly" then the other but still the same size. In the last couple days the implant has completely deflated. Will a capsulectomy be required if I wait 4-6 weeks to replace? What can I expect from that surgery? Is a drain necessary?

A: implant deflation

it really is up to you. when the implant deflates the capsule slowly shrinks. the longer you wait;the more likely you will need the capsule opened up to fit the new implant. the sooner you go the simpler it will be.

Jonathan Saunders, MD

Newark Plastic Surgeon

Is it Normal for the Surgery to Remove Expander is Separate from the Surgery to Repair Inframammary Fold? My doctor had to set up separate surgery to repair loss of inframammary fold after surgery to remove expander. He says that sometimes this is necessary. I feel that he should have seen it at time he removed expander and fixed it then so that I would not be charged for another surgery. Please advise

A: two step surgery

sometimes after removal of the expander for breast reconstruction the inframammmary fold does not end up exactly where we would like it. it is not unusual to have a touch up surgery. this does not mean that anything was done wrong

Jonathan Saunders, MD

Newark Plastic Surgeon

Implant Surrounded By Adhesions And Scarring, And Want It Removed Safely. What's The Best Way? I had a radical double mastectomy in 1974. I've had 11 surgeries on left side due to adhesions, rupture, scarring. I'm 68. I have small saline implant now that is surrounded by adhesions, scarring. It is almost under my arm. My pain is unbearable. I want the implant removed. Isn't it necessary for the surgeon to remove every adhesion and all the scar tissue? Surgeon told me he only wants to slip the implant out. I don't have a picture. I hope my question is clear.

A: Fat May Be the Solution to your Problems

We have seen in reconstruction cases where fat grafting is used for volume replacement that pain from chronic scarring (radiation) improves dramatically. This is anecdotal information, but may suggest that fat transplantation has some regenerative effect on pathologic tissue. In your case, an option is to remove the implant and have several sessions of fat grafting. This would probably remodle and help soften up our scar tissue instead of excising it. Excising scar creates more scar- a sometimes visious cycle.

Best Regards,

Dr Del Vecchio

bostonbreastcenter.com

Daniel Del Vecchio, MD

Boston Plastic Surgeon