Thank you for your question. Drains are recommended during the exchange as some capsule work is done. It's even more important when am anatomical implant is used. Best of luck.
An ADM is used with many applications in plastic surgery but it is most important with breast cancer reconstruction. It allows better soft tissue healing and defines the lower crease.
Thank your for your question. What you are experiencing is very common after breast reconstruction with placement of expanders under the muscle. Ask for a referral to physical therapy as it is very important for you to start improving your range of motion and having a good posture....