Had double mastectomies & immediate saline reconstructions. @3 weeks had staph blood infection. Rec'd IV antibotics & cont'd healing. NON radiated breast inflamed & implant extrused @2 months. Implant moved out & around muscle to front. Occurred DOMINANT side w/ pic limits. Surgery DRAIN heal again! Hercepin 5 months yet. Risk higher for 2nd attempt? Less cosmetic w/ scars? Expander type? Resign 1 implant & mastecomy now? Exercise or staph create rare situation? NO elbow out movement? Dismay!
How to Try Reconstruction After an Implant Extrusion?
Doctor Answers 2
Solutions to complications of implant based breast reconstruction
If you failed an implant based breast reconstruction and you are unhappy with your reconstruction currently, I would recommend that you undergo evaluation by a board certified plastic surgeon trained in autologous reconstruction.
You may a candidate for use of tissue from the abdomen, buttocks, back, or thighs. Although this may involve a longer recovery and more short term risk, the longterm risk of complications will be more acceptable in comparison to implants.
I wish you a safe and healthy recovery!!
The infection did not help, and the implant extrusion makes me think you have very thin coverage to the implant. In general you are at a slightly highre risk of infection with another surgery to the same breast.
Wait atleast 3-6 months after complete healing. Then you can start thinking about breast reconstruction. Again you have all the option in breast reconstruction.
1: implant reconstruction
2: TRAM flap reconstruction
3 Latismus Dorsi flap reconstruction
4: Free flap reconstruction