Hello, Breast reconstruction can get complicated. How tissues will respond when treated by radiation, chemotherapy and tissue expansion can be variable. With this being said, it is unlikely that the muscle is the crux of the problem. Have your surgeon take a look and offer some advice as to how you might proceed.
Muscle repair after Breast reconstruction
I had bilateral Breast reconstruction 2 years ago. The results are very unsatisfactory. I find it hard to explain what happened, but I have lost elasticity in the arm pit area and the implants are moving down. I am having discomfort in the chest area, which mostly feel tight while the implants appear to be soft.
Will my muscles recover or is there away to repair damage in the area of the chest and under the arm that is quite stretched out?
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9 answers to “Muscle repair after Breast...”A: Sounds like a revision procedure with Alloderm may help
Alloderm is a cadaveric (human) piece of skin that has been treated of all of its cells, leaving a matrix of collagen. It's used routinely in immediate breast reconstruction, but can also be used in revision procedures. The surgeon can use the Alloderm to create a sling for the implant to sit... more
A: Yo may need muscle sling repair
Generally the pectoralis muscle which is most likely the muscle which has been used is not of tremendous functional significance. Having said that, it does not negate your comments. There are no widely accepted methods of repairing the muscle. So this is not likely to be an option. It basically sounds as if... more
A: Too Litte Information
Breast reconstruction can be done in so many ways that I'm having a hard time picturing what surgery was done. Was it immediate reconstruction with implants, tissue expanders, latissimus muscle, another flap? What exactly was the surgery? The skin will continue to stretch if there is no... more
A: You can almost certainly be made better with revisional surgery.
Hi! No idea what the problem is without seeing you. The bad news is it will not get better by itself. The good news is it can probably be improved with surgery. In New York, we do a fair number of revision breast reconstruction surgery, and usually the patients end up happy.
A: Muscle repair may not be the issue
Laurel, Adverse results from breast reconstruction surgery can vary widely in their causes. It is impossible to appreciate your specific condition from just a description of your symptoms. A visit to your plastic surgeon would help to specifically identify your needs. Good luck!
A: Numerous side effects of breast reconstruction
The tightness in your arm pit may be related to lymph node dissection. This may cause a significant amount of scarring and may need extensive physical therapy. Breast reconstruction in and of itself usually does not affect the axillary region. If you had radiation in addition to surgical extirpation, this can... more
A: Hard to answer your question without photos
Including some photos would allow us to tell you much more about what might be going on and what options you have. If you could re-submitt your questions with photos some much more specific nswers might come your way.
A: Algorithm for breast reconstruction revision
A clinical exam will determine the aetiology of your symptoms. The algorithm is: 1. Rule out breast capsule issues. If you have tight capsule, you might need a capsule removal or release. The tight capsule will make you uncomfortable,will distort the breast and will make you asymmetric. 2. Check implant... more
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