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!!
Web reference: http://www.drpaulgill.com
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
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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