Moving a breast expander. Will it be possible to move it further down or is it fixed in place?

You can certainly try to move the expander down by using a compressive garment above. However, the alternative is at the time of surgery, the surgeon an extend the pocket inferiorly and correct the problem at that time.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question.
Overall, I would not recommend trying to move the expander on your own. Some tissue expanders are sutured into place at the time of surgery, so this may cause you discomfort. At the time of your surgery of replacing the tissue expanders to permanent implant, your surgeon will be able to manipulate the breast pocket to place your implant in a more favorable position. I recommend speaking with your plastic surgeon to discuss your concerns.

Thank you for your question. It is not necessary nor helpful to band an expander. These are devices that are typically sewn into position on the chest wall to provide appropriate expansion of the skin during your healing phase or any further oncologic treatment needs and thus will not move despite banding attempts.

When the exchange procedure takes place, your surgeon will remove the expander and the sutured tabs allowing for freedom of implant placement within your breast pocket. As an additional FYI, often during the exchange procedure, there is work done to the capsule pocket that will open areas of unwanted constriction or asymmetry leaving you with very symmetric and soft breasts. You happen to be within the adjustment and stretch phase and can not focus on symmetry until after your final exchange procedure. Try to trust your provider and this process.

What is helpful as well is discussing all of your questions and concerns during your next surgical consult as I have faith that your surgeon will work with you and help educate you on how these valid concerns will be addressed and repaired during your exchange procedure.