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Is double incision my only option? May I get keyhole then later get revsions to remove excess skin?

I
iamready86Mar 7, 2016

I would like to get a mastectomy done soon. However I would not like the double incision due to the scaring. I know that many patients with excess skin have to do double incision. Is there possible I could get a breast reduction first then a keyhole to avoid a lot of scarring. Can someone help me and leave me in the correct direction.

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Roxanne Sylora, MD
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Dr. Roxanne Sylora, MD
Board Certified Plastic Surgeon
4.8 | 36 Reviews
Answered on Mar 8, 2016
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Dr. Jacqueline Anne Luong, MD
Dr. Jacqueline Anne Luong, MD
Board Certified Plastic Surgeon
Answered on Mar 10, 2016
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1 person found this helpful
Dr. Robert Whitfield, MD
Dr. Robert Whitfield, MD
Board Certified Plastic Surgeon
Answered on Mar 11, 2016
Answer
1 person found this helpful

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Lewis Albert Andres, MD

Hello!  Thank you for your question!  Sorry to hear of your issues after your procedure.  In my patients, typically, there should be minimal pain or discomfort during the expansion process following breast reconstruction with tissue expanders. There is a mild amount of pain following the in...

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Robert J. Spies, MD

Hello and thank you for using RealSelf.com.I do not think any physician can give you a correct answer based on your questions, especially without pictures to view.However, here are some thoughts for you to consider.  You are only 7 weeks out from surgery.  Every physician will first say to you '...

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Ram Kalus, MD, FACS

Your wife's story is not uncommon. This may represent "red breast syndrome" but might be a seroma. Not necessarily an infection. Ask your plastic surgeon about the possible role of a cox2 inhibitor such as Singulair. Best of luck.

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Lewis Albert Andres, MD

Hello!  Thank you for your question. The photo appears ominous for mastectomy flap necrosis. I would follow-up closely with your surgeon as the need for surgical intervention may be needed with necrotic tissue. Best wishes. 

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Michael S. Beckenstein, MD

You have full thickness skin loss that requires attention. Depending on the skin laxity, it can be excised and closed, debrided and skin grafted, or a latissimus flap reconstruction. Sometimes it can be observed and see how it heals, but this risks infection, implant exposure and poor scarring.

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