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Hiatus Hernia and breast reconstruction?

booboo32Jan 31, 2017
I'm having a preventative bilateral mastectomy with immediate implants on the 13th Feb . I'm having implants placed under the muscle with a tissue matrix sling to support the implant A question I forgot to ask was whether my reconstruction will be affected by the fact I have an Hiatus Hernia . It gives me next to no problems and I know it's very common but I have this fear they will cut in to my chest and it will be there angry and protruding and cause problems for me . Am I being unrealistic?

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Dr. Flavia Davit, MD
Board Certified Plastic Surgeon
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Answered on Feb 2, 2017
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Dr. Damian Marucci, MBBS, PhD, FRACS
Specialist Plastic Surgeon
Answered on Feb 22, 2017
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Joel M. Stewart, Jr., MD

I definitely agree with ultrasound of the breasts in this setting. 5 months is quite a long time to be on antibiotics. Perhaps the remaining skin is just edematous (swollen) and there is no underlying bacterial infection. Follow up with your surgeon and let them know your concerns.

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Mark A. Brzezienski, MS, MD, FACS

Be sure to keep your surgeon in the loop with this issue.  It appears that you have a fluid collection around the implant.  If that is the case, an aspiration or seroma catheter placement may be indicated.

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Jonathan Zelken, MD

Dear lkt, I agree with the other posters. First and foremost, you should check in with your surgeon. It is common to have post-mastectomy neuralgia (pain) where the mastectomy cut the nerve endings. Steroids and nerve pain medications may be all you need, spending on your in-person exam...

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