After Bilateral Mastectomy, my Expanders Are Excruciating

If you have skin available, you do not need expanders. Ido almost all my reconstructions in a single stage ,and immediate . I understand your mastectomy already happened. If you have extra skin, you can avoid the expanders with the use of a collagen graft to expand your muscle and place a small memory gel permanent implant. If no skin was saved, and the expanders are painful, the graft can expand the muscle and reduce the skin expansion pain. The other option is a flap reconstruction.Good luck.

The pain you are experiencing is probably due to the pectoralis muscle that is being stretched by the tissue expander. The newer technique of placement of the tissue expander and coverage with acellular dermal matrix may be possible to treat this issue. The tissue expanders potentially could be placed above the muscle and expanded to accommodate your desired breast size.