Implant Closure Split Completely Open. What Are My Options?

Bilateral mast with immediate expanders followed by chemo and radiation. L implant (radiation side) removed 2x, once prior to radiation, once following . Split open, could see implant. Implant removed and skin sutured not glued. I thought implants should be under muscle. Would you see it if skin split open (entire length of implant 6 inches). Since skin is adhered and immobile on chest wall can I ever consider new expander. Really don't want any flaps or additional Sx other than new expand

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6 Doctor Answers | Asked by joytori in midwest

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Breast reconstruction options

Given the extent of treatment you have received (specifically radiation), implants are not recommended at this point. A free flap reconstruction would be your most reliable option to bring in undamaged soft tissue to provide with symmetry, volume and shape. Reconstruction using DIEP flaps are the best way to go these days. Make sure you see someone with expertise in this type of reconstruction, as well as other free flap options. I would stay away from implants and... more

Time for a flap reconstruction

After two failed attempts at implant reconstruction in the face of radiation, there is really not much chance it will ever work for you. Your better option is to consider a flap reconstruction where healthy non-radiated tissues are brought in to make the new breast. Good luck.

Breast reconstruction after radiation and implant extrusion

Radiation and implants do not mix well. You did make a good effort to try it out, as in some cases it can work. Unfortunately it did not work for you, and if you still desire reconstruction your best option is some type of flap surgery, where you use your own tissues to help form the breast mound. Consultation with a plastic surgeons who offer both types of surgical options is recommended. Good Luck!

Breast reconstruction after radiotherapy

I'm sorry to hear about the problems you have had. It is difficult to comment on the position of your implant in relation to the muscle; many surgeons ensure "total muscle coverage" for an expander, but some do not. It is also possible that internal stitches came undone, or pulled through the tissues, which would expose the expander from a position under the muscle. I would not recommend that you have a new expander. Unfortunately skin and tissues are affected by radiotherapy in ways... more

Implant problems after Radiation, what are options?

Sorry that you have experienced so many complications. Radiation does terrible damage to the surrounding tissue and implants are usually not a good option. I would recommend a flap, there are various types and they all have their pro's and con's, discuss your options with your PS and best of luck.

Reconstruction after radiation

While we have made strides in implant reconstruction in patients with radiation, there are many factors involved and the risks will always be higher than implant reconstruction in a patient that did not receive radiation. It is not always an option. You have had two failed attempts at implant reconstruction. This is not hard to imagine, then, that it would fail again for you. Your options now are no reconstruction or the addition of healthy non-radiated tissue for reconstruction. more