I had S/P BM with alloderm. I know that after the exchange surgery I will have to wear a bra for several months. I'm wondering about long term. I want to make an informed decision about the nipples. I don't necessarily feel I have to have them. If I do I want small projection with a light color around them. If I do the nipple does this change the bra answer to a yes, to conceal the nipples? So in general for reconstruction with alloderm what is the thought; bra or no bra for Size "C"?
After Exchange Surgery Do You Have to Wear a Bra?
Doctor Answers 5
Wearing a bra following second stage reconstruction.
Whether or not a bra is necessary depends upon what is done during the exhange. For fold corrections or tightening of the pockets, I recommend for my patients to wear a bra 24/7 x 4 weeks followed by 2 weeks of daytime wear. As for nipple reconstruction, I don't think the bra impacts the reconstruction all that much. I use a protective plastic cover dressing which protects the reconstruction early on, however, a certain degree of contraction always occurs.
Bra after implant exchange surgery
Bra post reconstruction
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I recommend a bra for a week or two after surgery just for comfort and protection. If there is any reconstruction done that involves the inframammary fold, such as surgery to raise or recreate the crease under the breast or surgery to raise an implant then a bra is mandatory for at least four weeks, preferrably one that has underwire support. In the absence of fold surgery the bra is worn only for patient comfort.
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Dgmlmax: IF I can paraphrase your question, "Is it necessary to wear bras after breast reconstruction?" Some physicians are draconian about cosmetic patients using underwire bras. Others are more laissez-faire-ist. In my breast cancer reconstruction patients, most elect to wear conventional bras, instead of any specialty items, because it restores a sense of "normality" to their lives. Many patients who were reconstructed prior to the era of skin sparing/nipple sparing mastectomies with Alloderm support have experienced implant displacement, as the size and weight of the implants needed to provide symmetry stretched the mastectomy flaps. They are being revised with placement of Alloderm capsulorrhaphy/slings.
Nipple reconstruction should not affect your need to wear a bra to conceal them. Most nipples which are reconstructed with random flaps do not tend to be overly projecting. Hope this helps. good luck.
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