Can a revision help this at all? 7 years post-op prophylactic double mastectomy (Photos)

Question

I had a prophylactic double mastectomy 7 years ago due to having BRCA2. I am 38 years old, and not happy with the outcome of the reconstruction. Anything that requires the use of my pec muscle puts me in pain, and my skin is super tight that I’ve lost putting my arms above my head. I also absolutely hate the appearance and have taken to just hiding - can’t wear a bathing suit because you can see all of the dimpling. Can any of this be fixed with a revision?

Anna Steve, MD · Answer

Options for breast reconstruction revision can range from implant exchange with capsulotomy, fat grafting and scar revision to removal of breast implants and replacement with a tissue-based reconstruction.

Justin K. Williams, MD · Answer

In your case I would consider a few different routes. THe first and least invasive would be fat grafting. The others involve a little more knowledge and a formal consultation. They include revision of what he previously had done as well as the use of other tissues that you have Under body for reconstruction revision.

Ajaya Kashyap, MD · Answer

Thank-you for your question. Your reconstructions can certainly be revised or redone to improve the appearance of your breasts. The first option is autologous fat injections to give some volume and improve the contours of your breasts. You may need multiple sessions of these. The second option is using the muscles from your back to cover the implants which will increase the volume and greatly improve the contours. Another option is to remove the implants and use flaps from the abdomen to reconstruct the breasts. You should find a board certified plastic surgeon, experienced in these procedures, who can examine you and answer all your queries. All the best!

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery. I think you can be helped greatly by placing a larger implant and revising the mastopexy. Best wishes to you.

Darryl J. Blinski, MD · Answer

Thanks for posting your post mastectomy photos and YES! Reconstruction can be offered. Usually 2-3 surgeries will be needed. Options are sub cutaneous breast tissue expenders, then replace to permanent implants. Or muscol-cutaneous flap reconstruction. Best to seek many in person opinions.

Can a revision help this at all? 7 years post-op prophylactic double mastectomy (Photos)

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Answer: Can a revision help this at all? 7 years post-op prophylactic double mastectomy

Answer: Can a revision help this at all? 7 years post-op prophylactic double mastectomy

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Can a revision help this at all? 7 years post-op prophylactic double mastectomy (Photos)

Answers (5)

Answer: Breast Revision

Answer: Breast Revision

Answer: Can a revision help this at all? 7 years post-op prophylactic double mastectomy

Answer: Can a revision help this at all? 7 years post-op prophylactic double mastectomy

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Recommended reading

Everything you need to know about Breast Reconstruction Revision

Our mission is to create a world where every investment in modern beauty is Worth It.