Breast reconstruction with direct to implants is often done with nipple sparing mastectomies but not always. Many times mesh or cadaveric dermis is used to hold the implant in place if it is placed under the muscle as well. It is hard to say exactly what kind of reconstruction you had but close follow up is very important and if things feel or look different, should prompt follow up with your reconstructive surgeon. Best, MMT
Prophylactic bilateral double mastectomy with immediate reconstruction. Direct to implant, over the muscle. Is this normal?
Thank you for your question and congratulations on your surgery. I am sorry to hear that you are having these recovery issues and I would continue to communicate with your surgeon about your symptoms. Though direct to implant reconstruction is acceptable (typically in small-breasted patients) it needs to be vigilantly monitored for any signs of skin breakdown, irritation or other issues. Depending on the scaffolding mesh used this may need to be repaired. Hope this helps.
Reconstruction of the breasts are often associated with some discomfort post-op. How much is normal is variable. If you are concerned, then I suggest you see your surgeon.