I am post bilateral mastectomy, after 10 years, I finally have expanders. They were placed in Nov. I am having pain 6/10 on one breast area and to the shoulder and arm.. I am afraid that after the implants I will continue having pain. Can the Breast implants be put over the muscle? Or is there an artificial muscle that can be used?
My concern is how to distinguish breast pain vs cardiac pain in the future. Implant schedule is in April.
Answer: Breast and Chest pain with under the muscle tissue expander reconstruction following mastectomy It is quite common to have pain during the expansion process. This seems to be particularly worse about 4-6 hours after each expansion rather than immediately with injection. Typically surgeons may over expand and then place a final implant that is smaller than your fully expanded size which should provide you with some relief. The rate of complications and unacceptable appearance wtih over the muscle placement ( exposure, extrusion, capsular contracture, visible rippling, etc) generally preclude placing implants in that location following mastectomy.
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CONTACT NOW Answer: Breast and Chest pain with under the muscle tissue expander reconstruction following mastectomy It is quite common to have pain during the expansion process. This seems to be particularly worse about 4-6 hours after each expansion rather than immediately with injection. Typically surgeons may over expand and then place a final implant that is smaller than your fully expanded size which should provide you with some relief. The rate of complications and unacceptable appearance wtih over the muscle placement ( exposure, extrusion, capsular contracture, visible rippling, etc) generally preclude placing implants in that location following mastectomy.
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CONTACT NOW Answer: Breast reconstruction and implant placement Hi, Thank you for your question. Expander pain and cardiac pain are very different. However, every patient is different and therefore experience different symptoms. It should not be assumed that the pain is from your expander, althought it is very common to experience this pain while your tissue is expanding. I would definitely seek medical attention just to be safe. Heart issues are often undiagnosed in women. Providing that the pain is from your expanders, the pain does subside in most patients once the implants are in. Since you had a mastectomy, all of your breast tissue has been removed leaving basically just skin to cover the implant. The implants should be placed under the muscle to give more cushioning to the implants and provide the best results. There are products out there help with breast reconstruction such as Alloderm. It will provide more support. You should discuss all of your options and concerns with your surgeon. Best regards, Dr. Speron
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CONTACT NOW Answer: Breast reconstruction and implant placement Hi, Thank you for your question. Expander pain and cardiac pain are very different. However, every patient is different and therefore experience different symptoms. It should not be assumed that the pain is from your expander, althought it is very common to experience this pain while your tissue is expanding. I would definitely seek medical attention just to be safe. Heart issues are often undiagnosed in women. Providing that the pain is from your expanders, the pain does subside in most patients once the implants are in. Since you had a mastectomy, all of your breast tissue has been removed leaving basically just skin to cover the implant. The implants should be placed under the muscle to give more cushioning to the implants and provide the best results. There are products out there help with breast reconstruction such as Alloderm. It will provide more support. You should discuss all of your options and concerns with your surgeon. Best regards, Dr. Speron
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February 17, 2010
Answer: Possible to have over the muscle Breast Augmentation after mastectomy. It is possible but not advisable. I would need to see photos and than can give a more specific response. Go see 3 boarded plastic surgeons in your area. From MIAMI
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CONTACT NOW February 17, 2010
Answer: Possible to have over the muscle Breast Augmentation after mastectomy. It is possible but not advisable. I would need to see photos and than can give a more specific response. Go see 3 boarded plastic surgeons in your area. From MIAMI
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February 16, 2010
Answer: Breast pain during reconstruction should be evaluated, but may not improve on top of your muscle Hi there- Only your surgeon will have the understanding of what has occurred to date necessary to explain what might be causing your pain, and what options you have for improving it. I would not, however, assume that your pain is due to the expanders being under the muscle, or that putting your implants on top of the muscle will make this better. Talk to your surgeon about your situation and see what the two of you can come up with.
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CONTACT NOW February 16, 2010
Answer: Breast pain during reconstruction should be evaluated, but may not improve on top of your muscle Hi there- Only your surgeon will have the understanding of what has occurred to date necessary to explain what might be causing your pain, and what options you have for improving it. I would not, however, assume that your pain is due to the expanders being under the muscle, or that putting your implants on top of the muscle will make this better. Talk to your surgeon about your situation and see what the two of you can come up with.
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March 14, 2016
Answer: Your discomfort should be better after switching to breast implants It is pretty common to be uncomfortable while the expansion process is ongoing. When you change to implants they are much softer and move with the body better than the expanders. I agree that putting the final implants above the muscle is probably not a good idea unless you have very thick skin flaps. You need to have adequate coverage over the implants or they can be felt and in some cases extrude. Discuss your concerns with your plastic surgeon, they should be able to allay your concerns. Good luck, Dr T
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CONTACT NOW March 14, 2016
Answer: Your discomfort should be better after switching to breast implants It is pretty common to be uncomfortable while the expansion process is ongoing. When you change to implants they are much softer and move with the body better than the expanders. I agree that putting the final implants above the muscle is probably not a good idea unless you have very thick skin flaps. You need to have adequate coverage over the implants or they can be felt and in some cases extrude. Discuss your concerns with your plastic surgeon, they should be able to allay your concerns. Good luck, Dr T
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