Tyler Breast Reconstruction doctors

	Craig Harrison, MD Tyler Plastic Surgeon 1100 East Lake Street Suite 200, Tyler		13 answers
	James Motlagh, MD Tyler Plastic Surgeon 700 Olympic Plaza Circle Suite 420, Tyler

Recent Answers

My Silicone Gel Implant is Flat in the Nipple Area, Will That Round Out? I am 5 days post op and this was placed after my expander that was in place post mastectomy. The scar is across the area tha is flat, so I don't know if that is what is causing it to look not very shapely. It's flat across the top and a little uneven along the bottom. Will this eventually work itself out?

A: Flat breast reconstruction

Christie,

You are very early post op and patience is key. Without photos it is hard to be certain what you are describing as flatness. Reconstructed breasts tend to be flatter than a natural breast. In my hands it is impossible to get a conical "spouting" breast with expanders and implants. A much more natural shape can be achieved with a TRAM flap. Keep your follow up appointments and express your concerns with your surgeon. Good luck.

Craig Harrison, MD

Tyler Plastic Surgeon

Unhappy With Asymmetry After Reconstruction/ PMB- Revision? I recently(2 weeks ago) had my expanders exchanged for implants. I am so unhappy. My left breast is higher and larger than my right. My PS told me I need to wait at least 6 weeks. The three things that are so upsetting are they are misshapen, uneven height and different sizes! Help! When is it reasonable to have a revision and how is it that the same size implant has yielded two different sized breasts? Thank you...

A: Disappointment after breast reconstruction Sorry for your disappointment. I would not consider a revision for three months. Then u could better assess shape and volume issues. Without photos and appreciation of the usual asymmetries of your breasts preop it is hard to answer your question. Your plastic surgeon or someone else who examines you could perhaps shed some light on your concerns. At this time, I would encourage you to enjoy some time outside of physician's offices and remember that revisions are common to get better symmetry. Good luck

Craig Harrison, MD

Tyler Plastic Surgeon

Is Scar Tissue Removal Possible After Breast Implant Reconstruction and Radiation? Last year I had a mastectomy due to multiple malignant phyllodes tumors. Immediate implant reconstruction surgery took place. I underwent 31 days of radiation therapy. Now, I am experiencing sharp, deep pain, and extreme rigidity. I have been informed by my plastic surgeon that I am experiencing capsular contraction, and because radiation further compromises the remaining tissue, is it impossible to remove the capsule. Is this true, or is their hope? If so, are there experts in this area?

A: Capsular contracture post radiation Dear Papillon01, Sorry to hear about your current result. One of the problems is we really do not have a complete understanding of capsular contracture. After mastectomy there is often a paucity of skin thickness. There are options of revision by capsulectomy and addition of acellular dermal matrix which has been a God send in treatment. Results can be good and recovery usually uneventful. Another option is the use of your own tissues to replace an implant. This can be done as a first procedure or if the acellular dermal matrix fails to achieve a soft breast. I routinely transfer someb of my patient's own fat into the irradiated breast flaps. Your best option is to get reevaluated by your original surgeon. Good luck

Craig Harrison, MD

Tyler Plastic Surgeon