What can be done about thin/thinning skin after a bilateral mastectomy? No radiation done. Have Alloderm with silicon mod implants but still have rippling, puckers and divots. Is there anything I can do to help remedy this? Thank you for any help!!
Answer: Fat Grafting to breasts I appreciate your question.I do a lot of fat grafting to correct this.If it is very thin internally I may consider a dermal matrix.The best way to assess and give true advice would an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz
Helpful 1 person found this helpful
Book a virtual consultation
CONTACT NOW Answer: Fat Grafting to breasts I appreciate your question.I do a lot of fat grafting to correct this.If it is very thin internally I may consider a dermal matrix.The best way to assess and give true advice would an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz
Helpful 1 person found this helpful
Book a virtual consultation
CONTACT NOW December 12, 2017
Answer: Autologous Reconstruction You may want to consider autologous reconstruction. Many women prefer to utilize their own excess skin and fat on their tummy (essentially using excess tissue that would be thrown away in a cosmetic tummy tuck) with a procedure called a DIEP free flap (tummy tuck breast reconstruction). In this procedure, we move healthy tissue with its own bloody supply and healing potential to restore the chest wall and breast after cancer treatment. Autologous (using your own tissue ) reconstruction is especially powerful after radiation therapy. As you are learning, there are limitations with implant based reconstrction. Autologous reconstruction helps to restore a soft supple breast using your own tissue. Please see a board certified plastic surgeon who is well versed with autologous reconstruction to learn more about your options.Dr. BasuHouston, TX
Helpful
December 12, 2017
Answer: Autologous Reconstruction You may want to consider autologous reconstruction. Many women prefer to utilize their own excess skin and fat on their tummy (essentially using excess tissue that would be thrown away in a cosmetic tummy tuck) with a procedure called a DIEP free flap (tummy tuck breast reconstruction). In this procedure, we move healthy tissue with its own bloody supply and healing potential to restore the chest wall and breast after cancer treatment. Autologous (using your own tissue ) reconstruction is especially powerful after radiation therapy. As you are learning, there are limitations with implant based reconstrction. Autologous reconstruction helps to restore a soft supple breast using your own tissue. Please see a board certified plastic surgeon who is well versed with autologous reconstruction to learn more about your options.Dr. BasuHouston, TX
Helpful
August 31, 2015
Answer: Thin skin after reconstruction The answer is a bit complex. There are many means by which the problem can be addressed depending on its severity. Fortunately, radiation therapy is not contributing to the problem.This skin can be supplemented with another layer of Acellular Dermal Matrix (ALLODERM) added over your breast implant. If the implant is not of the Form Stable type...it might be worth exchanging them. Form stable implants are less likely to deform and ripple.I have been very impressed with the improvements that fat injections produce for thin envelope problems, and I use fat routinely for this purposeIf the soft tissue envelope is very poor, then a Latissimus Dorsi muscle flap can be added between your skin envelope and the implant.Finally, a completely autologous reconstruction like a DIEP or a Free TRAM can be considered.
Helpful
August 31, 2015
Answer: Thin skin after reconstruction The answer is a bit complex. There are many means by which the problem can be addressed depending on its severity. Fortunately, radiation therapy is not contributing to the problem.This skin can be supplemented with another layer of Acellular Dermal Matrix (ALLODERM) added over your breast implant. If the implant is not of the Form Stable type...it might be worth exchanging them. Form stable implants are less likely to deform and ripple.I have been very impressed with the improvements that fat injections produce for thin envelope problems, and I use fat routinely for this purposeIf the soft tissue envelope is very poor, then a Latissimus Dorsi muscle flap can be added between your skin envelope and the implant.Finally, a completely autologous reconstruction like a DIEP or a Free TRAM can be considered.
Helpful
FIND THE RIGHT
TREATMENT FOR YOU
August 28, 2015
Answer: Breast Reconstruction Rippling of the breast implant after mastectomy can be dealt with in many ways. this is an issue with the type of implant, the thickness of tissue coverage. There are ways of dealing with it and many options. This is a long discussion with you to choose the right option for you and the issue of the tissue coverage. Change implant to form stable implant . use of alloderm, fat graft, and use of latismus dorsi flap.
Helpful
August 28, 2015
Answer: Breast Reconstruction Rippling of the breast implant after mastectomy can be dealt with in many ways. this is an issue with the type of implant, the thickness of tissue coverage. There are ways of dealing with it and many options. This is a long discussion with you to choose the right option for you and the issue of the tissue coverage. Change implant to form stable implant . use of alloderm, fat graft, and use of latismus dorsi flap.
Helpful
August 28, 2015
Answer: Fat grafting? If you have thin tissue and have rippling, you may need fat injection or might consider autologous tissue reconstruction.
Helpful
August 28, 2015
Answer: Fat grafting? If you have thin tissue and have rippling, you may need fat injection or might consider autologous tissue reconstruction.
Helpful