Spring Breast Reconstruction doctors
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Joseph M. Perlman, MD
Houston Plastic Surgeon
6319 Cypresswood Drive, Spring |
3 answers |
Recent Answers
and whats the results?
Brava is a system for minimal breast enlargement that takes 6 months to use daily for 8-12 hours,is uncomfortable and costs almost as much as a breast augmentation.
For breast reconstruction, you will need to have either an expander and later an implant,or using your own tissue from your abdomen,back or buttocks to construct a flap. Speak with your plastic surgeon about your options
My mom gets really painful cysts in her breasts constantly. It's not cancer, but she is tired of having tons of biopsies and plans to have a mastectomy later this year. From what I recall when my grandmother (my dad's mom) had a mastectomy due to breast cancer, she had to wait some time before having the breast reconstruction. But I was wondering if there is any way the two procedures could be done in succession, during the same surgery session, in cases like this where there is no breast cancer involved.
From a reconstructive surgery standpoint, immediate breast reconstruction is much easier technically ,since the wounds are fresh and you're not dealing with scar tissue. Not everyone is a candidate for immediate breast reconstruction, especially patients who had been irradiated or are being scheduled for immediate postmastectomy radiation.
Most general surgeons will discuss breast reconstruction with the patients and oftentimes, refer the patient to the reconstructive plastic surgeon, prior to any surgery ,so the procedures can be scheduled together. At the time of the mastectomy ,the plastic surgeon is also involved with planning the incision , in order to allow for the best cosmetic result. This is regardless of whether the reconstructive surgeon is using an expander (implant), local flap or distant flap.
What can be done about scar tissue causing pain?
The pain one has after breast reconstruction can be due to contracture of the capsule around a breast implant or from contracture of the overlying tissue. In either one of these cases, the scar tissue would need to be excised and surrounding tissue mobilized to allow more freedom of movement.
The problem can also be due to injury to one of the nerves supplying sensation to the breasts. If the nerve itself has been injured and is regenerating,the pain will be temporary and would eventually resolve. If the nerve is enmeshed in scar tissue, it will have to be dissected out and possibly repositioned so that it is in a healthy bed of tissue. The nerve itself may have to be destroyed causing a loss of sensation to the area that it supplies, but at the same time alleviating the pain.
If the problem can be isolated to a pinpoint area, then injecting with a small amount of local anesthetic and steroid solution may alleviate the condition and give you an idea of the source of the problem.
