Mastectomy, breast reconstruction with tummy tuck?

A single stage implant and alloderm can be done provided that you have a skin sparing mastectomy, although it is much harder to "get it right" in a single stage.  I would defer the tummy tuck to a later stage. Too bad you had liposuction of the abdomen, becasue you could have been a good... more

Dear Pretty Mongoose, I have reviewed the answers from the other doctors and they are all slightly different, which means that there is no right answer. Just to summarize: No one likes the one stage breast reconstruction - nipple areolar reconstruction should be performed at a separate sitting. Breast... more

I understand the decision making process that you have undergone to get to this point and repect your decision.  However, I would suggest reconsidering a one-stage immediate reconstruction.  Rarely does this produce a result that rivals a two or three stage reconstruction.  In addition dermal... more

To Prettymongoose, Hi.  Based on our experience with bilateral prophylactic mastectomies with immediate reconstruction, I seldom recommend one stage reconstruction  --even though it sounds so appealing --  because it is associated with frequent  need of revisions and it is most applicable... more

I agree with many of the central concepts written by the surgeons above.  Breast reconstruction with implants following prophylactic mastectomy is usually a straight forward procedure with few complications, however, problems may arise that may not be readily apparent during surgery or even in the days to... more

I am assuming you are getting bilateral prophylactic mastectomies. While it is possible to do the reconstruction and abdominoplasty simultaneously, you should have your surgeons assess the risk of the procedures. From a healing point of view, the incisions and undermining necessary might reduce blood flow to... more

There are many different reconstructive options for breast cancer.  For patients that are interested in removing abdominal tissue you should talk to your surgeon about using that tissue to reconstruct your breasts.  You can get excellent long term results with a very natural looking breast (most... more

The answer to this question would depend entirely on the opinion and practice experience of your surgeon. Assuming that you could perform the surgeries in less than 6 hours, it might be reasonable to proceed. If it would take longer than that for your doctors to perform their procedures, it would be wise to... more