Breast Reconstruction: Q&A

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Impact of Prior Breast Reduction on Cancer-related Mastectomy with Immediate Reconstruction?

i am one of the few whose breast reduction pathology found DCIS-grade 3 comedo+necro ER+ HER+ in rt breast (no assessable margins). Considering options including mast. How would BR affect the options available to me (if i have mast, would prefer either tram or diep from what i'm reading). BR took about 3.5 lbs from each breast, healing going well. post BR diagnostic mammo found "somewhat" suspicious sporadic microcalifications (mri bx pending). Know i'm an unusual case; any comments/advice?

2 Doctor Answers | Asked by j_self in pennsylvania
+1

Breast Cancer in a breast reduction - where to go from here

Dear j_self Sorry to hear of the findings, but in a way, very lucky that you had the breast reduction, so the DCIS was picked up. Here in the UK, in East Grinstead, a large part of my practice is DIEP flap breast reconstruction, where I work closely with breast oncological surgeons. I have done several immediate reconstructions after DCIS found in breast reduction specimens, and there are several approaches. If deemed safe by the breast oncologist, a neat and aesthetic... more
+1

Breast reconstruction after breast reduction

Thank you for your question. You will have the best chance of getting a good result by working with a plastic surgeon who works hand in hand with the breast surgical oncologist. Together they can tailor a plan for you. Having a prior reduction can affect the plan but this can be managed. I suggest having a consultation with a plastic surgeon to discuss all your reconstruction options and the pros and cons of each method. For example, it seems you prefer... more

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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.

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