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Can I get a direct implant procedure without issue expanders after mastectomy?

M
MicaiSep 29, 2023

I was just diagnosed and advised I have breast cancer and will be needing a mastectomy. My breast cancer surgeon said i can have direct to implant procedure, but i am not sure I want to use the hospitals plastic surgeons. How can i still do this without having to use a tissue expander and wait months for this to be filled?

Answers (3)

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Dr. Randal Haworth, MD, FACS
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Dr. Randal Haworth, MD, FACS
Board Certified Plastic Surgeon
4.6 | 84 Reviews
Answered on Sep 30, 2023
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Dr. Ryan Rebowe, MD
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Dr. Ryan Rebowe, MD
Board Certified Plastic Surgeon
5.0 | 59 Reviews
Answered on Jul 4, 2024
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Dr. Gary M. Horndeski, MD
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Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
4.6 | 319 Reviews
Answered on Oct 2, 2023
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Chad Deal, MD

This is something that your surgeons should specifically discuss with you. Only they will know the exact details of the repair in which areas need support and which need a little relief. You are correct. Sometimes there are forces working against each other when you have both symmastia as well...

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Ryan Rebowe, MD

Any nicotine use will predispose you to some skin necrosis. However, if you are not having a formal reconstruction with implants, the skin necrosis can often be managed conservatively without any other surgery. Without a formal reconstruction, your risk of serious problems such as infection are...

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James D. Frost, MD

From your description, you likely have Poland's syndrome. Poland's can present with only breast development discrepancy or may involve underlying muscle and bone. The best way to get an opinion is to call and make an appointment with a board certified plastic surgeon. Look for one who does a lot...

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Martin Jugenburg, MD

Hello, thank you for your question. You would need surgery if you would want your breast tissue and NAC lifted to be at the center of the implant. This requires more than just a bigger implant. In fact your implants seem to be in a nice position but it seems that the implant is not the issue you...

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Michael A. Fallucco, MD, FACS

Thank you for sharing your experience, this is a common and understandable concern after implant reconstruction. That persistent heavy, sagging feeling you describe in the left breast, especially noticeable without a bra can sometimes be due to pocket laxity, asymmetry in implant positioning,...

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