I had bilateral mastectomies with immediate bilateral reconstruction with implants and free nipple grafts 1 week ago. I had 600 cc saline implants before the surgery which were replaced with 800 cc silicone. My breasts are flat and oddly shaped. Will the implants drop like they did after my first surgery and will my breasts become less flat?
My Breasts Are Flat Post Reconstruction/Revison
Doctor Answers (6)
Breast reconstruction revision
It can be very difficult to give a implant breast reconstruction projection. Devices that are shaped and fat grafting can help!
Three basic forms of breast reconstruction exist. You can use your own tissue, implants or a combination of the previous two techniques. Your own tissue can be used in the form of the DIEP flap, PAP flap, SGAP flap or fat grafting. Implants can be done in one stage or two stage. Two stage reconstructions are started by placing expanders at the time of mastectomy. Once they expanders are placed they are able to be inflated as determined by wound healing. The final time consists of combining any of the above techniques.
If you are interested in being seen in Austin please give us a call. I know this is a difficult time for you. The majority of my practice is devoted to reconstruction for women with breast cancer or who are BRCA+
Breast Shape After Breast Reconstruction with Breast Implants: Same Principles
It looks like you likely need a mastopexy or breast lift. Breast shaping principles apply for both cosmetic and reconstruction patients, but the only difference in maintaining skin viability in the post-mastectomy patient, but nipple movement should be straightforward. You would likely need lifting and tightening of the skin, but I would recommend doing this after you are healed. I hope this helps. Dr. Trussler
Un happy post mastectomy result
From your photos I congratulate your surgeon on a great outcome. Reviewing the chart on my desk, the largest implant on the list is 800ccs. Perhaps after a year you could request that some custom larger implant be special ordered to replace your current implants. Until then I would focus on your overall health. Good luck
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Assess your results based on your reconstructive problem
For the type of breast shape you have and the fact of the mastectomies, you have a superb result--symmetrical, normal skin, excellent scar placement, and a normal shape. Congratulations to your surgeon. I hope that you will be able to appreciate what you and your surgeon have achieved.
Patience is key at this stage
Martin Jugenburg, MD
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.