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Any fever associated with tissue expanders or tissue expander filling should be followed closely by your surgeon. Kenneth Hughes, MD Los Angeles, CA
I would encourage you to schedule a follow-upvisit with your plastic surgeon immediately.An examination by your surgeon will ensure that there are nounexpected complications.
Having a fever after expansions is not normal, and you should contact your surgeon immediately to be seen in case there is an infection. This is especially important to do if you are on chemotherapy, as fevers can be a concerning first sign of either an expander infection or infection elsewhere.
It is not normal to have fevers. Especially if you have implants in place I would make an appointment to see your reconstructive surgeon to make sure you get ahead of any infection you may or may not have.
Once fully healed, you should have no restrictions. I ask my patients to avoid strenuous physical activity for the 6 weeks after surgery while they recover. You now have a tissue expander and are going through the expansion process. At this time I would be careful and not over-exert...
It is nearly impossible to tell whether or not the tight dressing contributed to the necrosis of your nipple/areola, as the viability of the nipple and areola is always quite finicky after nipple sparing mastectomies, even in the hands of very experienced general and plastic surgeons. I have had...
Unfortunately, necrotic skin that is black usually means all layers of the skin are no longer alive, and almost always requires surgery to remove it. The dead skin has no blood flow, so it is also at high risk of getting infected. If there is concern that the tissue expander has also been...
There will be diminished to no sensation at the mastectomy site. You will not have any feedback as to the temperature of the hot water bottle. I would not recommend it as you are at risk for being burned as well as possibly increasing bleeding/bruising. If you do place...
I generally want people getting some walking exercise right away. By 6 weeks patients can typically do almost anything. I would reserve exercises that specifically cause pec major (chest muscle) to heavily contract (push-ups) or stretch (yoga) until the 8 week point. Of course...
Treating the disease process should take priority so I would defer to your breast surgeon and radiation oncologist based upon your individual case. Kenneth Hughes, MD Los Angeles, CA
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