On Jan.3 I Had Bilateral Implants with Alloderm. I'm Experiencing a Very Uncomfotable Stiffness Across my Ribs

Spans from one side to the the other as if I have a very tight under wire bra sewn into my chest. Will this go away? Is this the result of alloderm? My PS wants to see me in two months, but I cannot make it that long with this discomfort. Suggestions or information please?

Doctor Answers (6)

Alloderm issues

+2

Alloderm is a standard product used in breast reconstruction with tissue expanders or immediate breast implants. If immediate implants were used, there may be more initial swelling of the skin and soft tissue of the breast because there is less "potential space" compared to the placement of a decompressed tissue expander. The Alloderm is usually sewn along the fold under the breast internally, and then to the pectoralis major (chest) muscle. When your muscle moves, it may pull against the Alloderm, in turn pulling against the fold, which may cause pain. In addition, the Alloderm can induce an inflammatory response which may contribute to discomfort. It would be a good idea to check with your plastci surgeon to make sure things appear to be healing as they should. Many such symptoms gradually dissipate in time, but it can take months. Check with your surgeon to be sure you are progressing normally. Often, these symptoms can be reduced with medication, physical therapy, or other modalities.


Palm Beach Plastic Surgeon
5.0 out of 5 stars 14 reviews

Tightness across chest with Alloderm breast reconstruction

+2

I would call to schedule an earlier appointment. The tightness may be due to the inflexibility of the Alloderm. This will likely resolve as the material becomes incorporated but it may take closer to 9 months.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Chest wall pain afterAlloderm

+2

Because the material needs to be secured along the lower pole of the breasts with stitches near the ribs, there is pain and tightness from that.  This is necessary and normal and will resolve on it's own over time.  See your doctor sooner though for reassurance and to be sure all is okay.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 51 reviews

You might also like...

Alloderm and Breast Revision

+2

I Had Bilateral Implants with Alloderm. I'm Experiencing a Very Uncomfotable Stiffness Across my Ribs
Spans from one side to the the other as if I have a very tight under wire bra sewn into my chest. Will this go away? Is this the result of alloderm? My PS wants to see me in two months, but I cannot make it that long with this discomfort. Suggestions or information please?

I would be nice to know what the reason was for the alloderm, but most likely it was placed along the inferior pole and suture to the tissue over the ribs.  This is likely the reason why you are having the discomfort.

Hope that helps.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 46 reviews

Alloderm and chest discomfort

+2
I agree with Dr Wallach. When alloderm is used it is secured to the chest wall and that is the most likely cause of your discomfort. Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 191 reviews

Tightness across rib cage with alloderm

+2

More  than likely, the alloderm that was secured across your chest is the discomfort that you are feeling. If you want to be sure, I would talk with your doctor or see him for evalutation.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

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.