I ruptured my implants fold & have diastasis recti. Should both be repaired at once for optimum result? (photo)

I had a profalctic mastectomy and the internal stitches ruptured within a couple weeks on the right.I have a follow up surgery in August. I awaken nightly from the muscle tearing on my rib cage.

Doctor Answers 6

Breast reconstruction

Depending upon where you are in the reconstruction stages will determine when you can have the fold fixed.  Best to discuss with your surgeon.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast Reconstruction

You have a second surgery planned for August.  The implant position can be corrected at that time so you do not need to have an additional surgery to reposition these implants.    Best wishes, Dr. T

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 52 reviews

Multiple repairs

Having these procedures together, as opposed to separately, should have no effect on the outcome so it is a matter of personal preference as well as whether your insurer will permit the cosmetic and reconstructive elements to be performed simultaneously. 

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

I ruptured my implants fold & have diastasis recti. Should both be repaired at once for optimum result?

In this presented case ONLY in person examination would allow a treatment plan and options to be offered!

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

The diastasis recti is abdominal in nature and ...

really should not have anything to do with the ability of an internal sling to hold an expander/implant for reconstruction in place.  Having another surgery already planned should be able to remedy your concerns.

Peter J. Capizzi, MD
Charlotte Plastic Surgeon
4.9 out of 5 stars 87 reviews

Combined Plastic Surgery Procedures

Thank you for your question.  It appears that you have developed capsular implants around your implants. This is one of the more common complications of breast reconstruction.  There are many ways to remedy your problem, this could include exchanging your implants, recreating the inframammary fold, removing the capsule, and placing your new implants into a new pocket.  Since the photos do not show your lower trunk, it is difficult to assess.  However, breast and truncal surgeries are often combined.  I personally try to limit operative time to 6 hours for cosmetic cases.  For combined breast and body cases, especially if you are undergoing abdominoplasty, I inform my patients that the tummy tuck can lower the inframmamary fold.  

The two surgeries can be combined, but patient safety must always be the first priority.  I recommend a consultation with a board certified plastic surgeon to see if you are a candidate for a combined procedure.

Good Evening,

Nicholas Jones, MD 

Nicholas Jones, MD
Atlanta General Surgeon
5.0 out of 5 stars 1 review

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.