I have under the muscle silicone implants. My lumpectomy was 5 1/2 years ago. Can Alloderm or Juvederm be used to fill in an indentation area on the breast after wide excision lumpectomy?
September 28, 2008
Answer: An filler (Juvederm) would not be a good first choice. A dermal implant (Alloderm) may be helpful. Depending on the degree of the deformity, there are several options including utilizing local tissue rearrangement with or without additional tissue which may include the use of a dermal implant such as Alloderm, replacement or revision of your implant reconstruction, and finally the use of autologous (your own body) tissue from another site such as your back or abdominal areas. A consultation with a Plastic Surgeon is the best place to start.
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September 28, 2008
Answer: An filler (Juvederm) would not be a good first choice. A dermal implant (Alloderm) may be helpful. Depending on the degree of the deformity, there are several options including utilizing local tissue rearrangement with or without additional tissue which may include the use of a dermal implant such as Alloderm, replacement or revision of your implant reconstruction, and finally the use of autologous (your own body) tissue from another site such as your back or abdominal areas. A consultation with a Plastic Surgeon is the best place to start.
Helpful 1 person found this helpful
Answer: Indentation after lumpectomy Thanks for your question. There are a number of options for dealing with contour irregularities after lumpectomy. Commonly, fat grafting can be performed to fill up the indentation. This is a simple procedure where fat is taken from one part of the body and then injected into area where it is required. Some plastic surgeons are concerned that the fat grafting may promote tumour growth but recent large reviews have not demonstrated any increased incidence of tumours in patients treated with fat grafting. If a lot of tissue is required, you may benefit from having a "flap" of tissue moved into the area. For lumpectomy defects, often the flap used in taken from the back (the latissimus dorsi muscle with skin and fat). If the irregularity is due to implant malposition or capsular contracture, you may benefit from revisional surgery with or without the use of sheets of acellular dermal matrix (donated skin that has been specially treated and which is useful when dealing with implant related problems). I hope this helps.
Helpful
Answer: Indentation after lumpectomy Thanks for your question. There are a number of options for dealing with contour irregularities after lumpectomy. Commonly, fat grafting can be performed to fill up the indentation. This is a simple procedure where fat is taken from one part of the body and then injected into area where it is required. Some plastic surgeons are concerned that the fat grafting may promote tumour growth but recent large reviews have not demonstrated any increased incidence of tumours in patients treated with fat grafting. If a lot of tissue is required, you may benefit from having a "flap" of tissue moved into the area. For lumpectomy defects, often the flap used in taken from the back (the latissimus dorsi muscle with skin and fat). If the irregularity is due to implant malposition or capsular contracture, you may benefit from revisional surgery with or without the use of sheets of acellular dermal matrix (donated skin that has been specially treated and which is useful when dealing with implant related problems). I hope this helps.
Helpful