By three weeks alloderm is considered to be healed not position. Of course this can vary from person to person and the techniques used as well as the position of where the material has been placed.
basic forms of breast reconstruction exist. You can use your own tissue,
implants or a combination of the previous two techniques. Your own tissue can
be used in the form of the DIEP flap, PAP flap, SGAP flap or fat grafting.
Implants can be done in one stage or two stage. Two stage reconstructions are
started by placing expanders at the time of mastectomy. Once they expanders are
placed they are able to be inflated as determined by wound healing. The final
time consists of combining any of the above techniques.
you are interested in being seen in Austin please give us a call. I know
this is a difficult time for you. The majority of my practice is devoted
to reconstruction for women with breast cancer or who are BRCA+
1. If Alloderm is used in breast reconstruction, it is likely that any infection will develop in the first few weeks. However, there is definitely a set of patients who develop delayed infection months after reconstruction. It is not clear why this happens.
2. Reconstruction does soften with time. Twice daily massage can help. My patients use my Dr. Vaniver Breast and Body Recovery Serum, which is castor oil based, and all-natural. It takes up to a year or more to see the final result.
3. Because the tissue under the nipples is removed, it is unlikely that sensation will return. However, a small number of patients do report return of some sensation.
Normally infection occurs within first 2 weeks or so but late infections can happen. Implant based reconstruction will always be harder than the normal breasts. Breast remain numb after reconstruction although some sensation might come back.
Hello! Thank you for your question! I'll do my best to address your questions:
1) Following implant-based breast reconstruction procedures with acellular dermal matrix (e.g., AlloDerm, FlexHD, AlloMax, etc.), it is most common to experience infections within the first couple of weeks following the procedure. While it is more typical that there is a periprosthetic infection...which then could extend to the surrounding tissue and dermal matrix, they most commonly occur within the first couple of weeks. However, it is possible to develop infections several weeks to months down the road, which is more commonly caused by contamination of the tissue or dermal matrix. In my experience, the chance for infection lessens as the time from the initial procedure increases.
2) The breast softens with time. Typically following a surgical procedure, swelling and inflammation continues up to 6-12 weeks postoperatively, which then gradually subsides over time and you will notice a softer, more supple reconstructed breast as the implant settles into its pocket.
3) Your breast and nipple will never have the same sensation as it did prior to the mastectomy. The dermal innervation will slowly creep towards the incisions from the periphery and will gradually gain some sensation up to a year in time.
Hope that this helps!