Would it be plausible to have BREAST, CHEST AND TRUNCAL LYMPHEDEMA from implant explantation and a breast lift?
Doctor Answers 2
Anything is plausible
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Truncal lymphedema after explantation mastopexy is unusual
Of the 32 explantations I performed last year, only 4 were explantation mastopexies. My approach is as follows: a. All silicone gel implants are conducted under sedation;
b. All capsulectomies and explantation mastopexies are fitted with drains, which remain until the output is </=24cc/drain/24hours;
c. Patients are requested to restrict upper body activities for a minimum of 4 weeks;
d. Compression garments are worn for a minimum of 2 weeks. If a seroma (collection of fluid) doesn't result, after 2 weeks, activities can be advanced.
e. Massage is restricted for 4 weeks.
Thoracic and upper extremity lymphedema is observed less frequently since sentinel lymph node biopsy has become more common. I wonder whether you may have a loculated (partitioned) seroma. Do discuss this with your PS, a simple ultrasound would be diagnostic and possibly therapeutic. Good luck.