2nd stage procedures after DIEP flap breast reconstruction
I believe your asymmetry can be safely corrected with an outpatient 2nd stage procedure.
Without seeing photos, i would be curious as to whether you had radiation, whether your nipples were preserved, and how much asymmetry you had prior to surgery.
It is important to understand that breast reconstruction is a process. A mastectomy surgery takes away the size, shape, and symmetry of the breast. In order for your plastic surgeon to recreate these variables, it often takes 2-3 staged procedures.
I wish you a safe and healthy recovery.
Breast reconstruction using your own tissues
If you have undergone a TRAM flap for both breasts and you are asymmetric, then you may be a candidate for a revision of your reconstructed breasts. This procedure is usually covered by insurance. Please followup with your reconstructive plastic surgeon to discuss your options
Breast asymmetry after reconstruction
It sounds like you had bilateral breast reconstruction with your abdominal tissues? So I am assuming that you had a bilateral DIEP or TRAM flap? If so, then there are options to improve your symmetry. Please visit with your plastic surgeon for a follow-up to learn more about your options.
Breast reconstruction, nipple reconstruction, breast cancer, DCIS, mastectomy, TUG flap, DIEP flap, Latissimus flap, fat graft i
I am unclear by the question. DIEP flap reconstruction done for bilateral reconstructions use an equal amount of tissue from the abdomen for each breast reconstruction. The Breasts are asymmetric in many instance because they always were or because of previous surgery for radiation therapy. Using fat grafting after mastectomy is an effective way to treat size and shape differences. Fat grafting is performed by removing fat with a liposuction cannula and then processing the fat and re-injecting the fat into areas of the reconstruction that need more fullness. Typically this is at the top where there can be a shelf or the side.
Breast Reconstruction Asymmetry can be improved in most cases
Without photos I can only give you a general answer. It is common for reconstruction breast asymmetry to be corrected secondarily.
Breast reconstruction revision
While it is difficult to answer your question without at least pictures, generally, this can be done and often required. It sounds as though you have had bilateral TRAM flaps and may benefit from fat transfer, another flap or small implants. This is a discussion best had with the surgeon who performed your reconstruction. Best of luck.
Asymetry in size can be corrected and you have several options. It will depend on the mall difference can be corrected with fat transfer, you may have the option of implant or even a latsmus dorsi flap.