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Pain After Revision to Silicone Implant Surgery After Prophylactic Bilateral Mastectomies?

I had prophylactic bilateral mastectomies 2-22-12 w/expanders and SI (400 or 450 cc).I had exch surg 5-22-12.December 20, 2012, I had revision surgery to move the implants in and up. I have had extreme pain (stabbing) under my right breast along the crease and on the rib since this surgery six weeks ago, and my PS tells me it doesn't make sense.She made the crease by suturing the tissue to the sheath covering the rib and did not use Alloderm, and this is likely the problem.Is this a typical technique?

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4 Doctor Answers | Asked by Lineo

Doctor Answers (4)
Community Comments (1)

Pocket can be revised

Trying to recreate the pocket so that the implant is better positioned is a common practice but difficult to guarantee. Often, the capsule can be used to do this and give excellent results without the dermal matrix (such as Alloderm). Whether the surgeon uses native breast capsule or the dermal matrix, you must anchor it to the ribs' covering (perichondrium) or it will simply stretch back out. There are no guarantees with the dermal matrix. Normally the pain you are describing will subside.... more

Breast Implant REvision

There are many reasons why you might have pain after the revision. It could be muscular depending on what needed to be done or how long you are from the surgery. You could also have a capsular contracture

Revision breast surgery and pain

It is certainly possible to have pain after revision breast surgery with alloderm especially where the sutures were placed to secure the alloderm( i.e., chest wall).

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

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Pain after revision of reconstructed breast

I am sorry to hear about your discomfort after this revisionary procedure. Performing a capsulorrhaphy, where your surgeon places sutures to recreate a fold or crease in order to raise or close a breast pocket, is a standard procedure for breast revision. Use of an acellular dermal matrix (e.g., AlloMax, AlloDerm, etc.) may be considered if needed to do this as well. However, it is not always necessary and what you describe is a typical modality to raise the inframammary... more

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M. Scott Haydon, MD
7 Feb 2013

View answers from M. Scott Haydon, MD

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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.

Breast Reconstruction: Q&A