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Reconstrution Implant Bottomed out After Mastetomy

asked 1 year ago by BreastCancer Karen in Nottingham, UK
Latest answer by C. Bob Basu, MD
Question viewed 207 times
Tags: bottom out

I had a bilateral mastectomy with immediate reconstrution using expander implants. my right side went considerably lower hence, no fold at the bottom. My surgeon said to fix this he would have to stitch to my ribcage. I had surgery done 3 wks ago and have woken this morning to find that the fold has gone and the implant is once again going southwards. Is there anything that can be done for me. Before the mastectomy I was a 34c cup. I am now a 32E cup. has the surgeon made me too big?

3 answers to Reconstrution Implant Bottomed out After Mastetomy

+1

Bottoming Out of Reconstructed Implants

What you are describing is a bottoming out of an implant. This likely occured because of an absence of support to the implant. This absence could be due to many reasons which include but are not limited to: poor mastectomy skin quality and violation of the inframammary fold during the mastectomy, and the technique used to place the tissue expander implant. If your reconstructive surgeon already attempted to reconstruct the inframammary fold with sutures, but this failed, you still have... more
C. Bob Basu, MD

Houston Plastic Surgeon

www.basuplasticsurgery.com

+1

Reconstruction bottoming out

It is unclear from your history.  Did you have it repaired already once before and it is occurring again?  Sometimes alloderm is used to reinforce the fold.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Breast Reconstruction Bottoming Out

Any sudden change in the position of your implant should be evaluated by your reconstructive surgeon.   It appears that the inframammary fold has been disrupted.   This most probably occurred during the initial mastectomy.    It is a challenging problem to correct in the mastectomy patient, but can be done with careful planning.   As far as your size concern, this should be carefully evaluated with your surgeon.   It is... more
Paul S. Gill, MD

Houston Plastic Surgeon

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