Can I get sliding implants out and a GAP flap reconstruction instead? (Photos)

Question

I had a breast reduction, which led to a BMX with expanders which I had a terrible reaction to. PS drained off 300ml of fluid in the exchange. But it created pockets that were way too big for the 270cc implants. Four months on, they are sliding down my ribcage and into my armpits. PS refuses to reduce the size of the pocket in repair. He says just internal stitches will suffice but with this much implant mobility I am highly skeptical. Is there any reason why I can't do a GAP flap now?

Ben Brown, MD (license emergency restriction) · Answer

Hello mrspotter,
Thank you for your question and for sharing your experience. I'm sorry to hear that all has not gone as well as you had hoped with your breast reconstruction journey.
It is possible to perform breast reconstruction with free flaps, including SGAP (superior gluteal artery perforator) flaps, after removal of breast implants. Without knowing your medical and surgical history and in the absence of an in-person physical exam it is impossible to accurately determine whether or not you are a safe candidate for this type of surgery.
However, in general, free flap surgery after prosthetic reconstruction can certainly be done in either a delayed or an immediate fashion after the removal of implants. I recommend you consult with a plastic surgeon experienced in microsurgical technique for a second opinion.

Can I get sliding implants out and a GAP flap reconstruction instead? (Photos)

Answers (1)