Nipple sparing mastectomy. (photo)
Doctor Answers 6
Breast reconstruction after removal of an infected implant
The most important issue now is appropriate wound healing. Once the wound has healed then your option for reconstruction on the right can be evaluated. I am always concerned about placing an implant in a previously infected pocket. This can be an alternative. Also you can use you own tissue.
Uneven nipples after mastectomy
You have so much healing and evolution of the right side to see what can be salvaged and how that will look. Working with your doctors on maximizing your health and the appearance of the side that is missing the implant is what is most important right now. Balancing or altering the opposite healthy side is an easier fix for later. But to answer your specific question, yes it is possible to raise or remove a nipple/areola complex after nipple sparing mastectomy if it is needed because of health reasons or appearance reasons.
Losing an implant in reconstruction
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At this time , it would be wise to wait for a few months to allow the tissues to heal and soften and then be re-evaluated to discuss the next steps as to how to rebuild the right side. At that time you can discuss options to allow for improved symmetry between the left and right breast. Don't worry! There will be options for you once your tissues heal. Stay in contact with your plastic surgeon who will guide you through the necessary steps . Good luck!
Nipple sparing mastectomy.
Generally speaking, yes, the nipples can be removed and replaced with a scar. However, I would not proceed with that until you have given enough time for things to settle and complete your post-op course. In addition, changing implants can sometimes change the appearance of the nipple position so this may be an option. It can be very hard to lower a nipple once it is too high.
My best advice would be to follow closely with your plastic surgeon and discuss your concerns honestly. Wait until the reconstruction is completed and enough time has been given for healing to occur (sometimes 6 months or more) before considering any further revisions. Like I said, these types of cases can often be very complicated and patience is warranted.
Hope this helps.....best of luck!
Nipple sparing mastectomy
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