Breast Reconstruction Q&A
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Unhappy With Look OF Breast Reconstruction- Options? I Also Have Fibromyalgia

asked 8 months ago by NotwhatIthought in O Fallon, IL
Latest answer by Vivek Bansal, MD
Question viewed 449 times
Tags: fibromyalgia, natural appearance, options, unhappy

7 years post op from bi-lateral mastectomy and reconstruction with McGhan 163 saline implants at 530 ccs ea. gained 25 lbs, look pretty flat don't fill bras front to back, too far apart, dip in one, one sits higher, nipples faded and flattened. Originally felt that projection was too little vs the base diameter which seemed too large. What are my options? Is revision covered by insurance? I'm very unhappy but don't want to seem ungrateful. I am 5'3 weigh 190 lbs and have fibromyalgia too.

8 answers to Unhappy With Look OF Breast Reconstruction- Options? I Also Have Fibromyalgia

+2

Breast reconstruction revision

Certainly some things can be done to improve your result. Things like changing the implants to a different size, adjusting the folds, sometimes fat grafting, etc.. Speak with your surgeon.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

BREAST RECONSTRUCTION

You have had many good suggestions. Your reconstruction can be improved, but need several things done 1: liposuction of the lateral chest. That fat takes away fro the shape of the breast. 2: stabilize and fix the infra mammary line to defibe the breast and shape it. with the support of acellular matrix as well. 3: posssibly change the implant 4: fat grafting in key areas to correct irrigularities and improve in shaping and projection of the breast. 5: once the shape... more
Samir Shureih, MD

Baltimore Plastic Surgeon
+2

There is one best solution to your problem

You are an ideal candidate for fat transplantation Removing fat from one area with liposuction and Grafting it to re contour your soft tissue over The implants. I have performed hundreds of fat Grafting procedures. All patients treated have maintained Fat. There are no incisions and the recovery Is quick. Best Of Luck, Dr Del Vecchio Boston Breast Center
Daniel Del Vecchio, MD

Boston Plastic Surgeon

www.bostonbreastcenter.com

+2

Fat grafting is a good option

You have area of depression that is normal after reconstruction and weight gain. I would recommend fat grafting. This can be done as an outpatient surgery and under local anesthesia with IV sedation and quick recovery.
Kamran Khoobehi, MD

New Orleans Plastic Surgeon
+2

Breast reconstruction

There are a lot of options for you. The style of implant can be changed, fat grafting can per performed to fill in some areas of depression and the nipple reconstruction and be redone as well as additional tatooing.
David L. Abramson, MD

New York Plastic Surgeon
+2

Breast reconstruction has limitations

Aside from the fact that your areolas need to be tattooed again and the left IM crease needs to be retightened, your result is actually perfectly good for a breast reconstruction. Please remember that breast reconstruction is not a cosmetic breast augmentation which also gets rid of your cancer. Rather, it is an attempt to make a mimic of a breast after the entire breast has been removed. As such the results are totally different. Also, while it is difficult with... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

Unhappy with look of breast reconstruction

You need to see your plastic surgeon as there are certainly things that can be done to improve things. The areolar tattoo often fades and can be redone and the inframammary fold on the left could be redefined, for a start. There are limitations with an implant reconstruction and yours don't look too bad. I would advise to you to book a consultation to go through things with your surgeon. Good luck. Jonathan Staiano.
Jonathan J Staiano, MBBS

Birmingham Plastic Surgeon
+1

Breast Reconstruction

After bilateral mastectomy and reconstruction, a revision is not uncommon to have done. That is a lot of change in short amount of time. Check with our insurance carrier on what is covered in your situation.
Vivek Bansal, MD

Danville Plastic Surgeon

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