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Posted underBreast Reconstruction with DIEP Flap q&a

Is HRT safe after bilateral mastectomy for estrogen and progesterone receptor positive DCIS?

debkistJun 30, 2015
I just recently had bilateral mastectomy with DIEP flap reconstruction. I had DCIS in both and had to stop HRT at time of diagnosis. I went on HRT 6 years ago due to severe and frequent hot flashes. The hot flashes have returned with a vengeance. I am wondering if I will be able to resume HRT given that the breast tissue has been removed.

Answers (5)

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Dr. Manish C. Champaneria, MD
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Dr. Manish C. Champaneria, MD
Board Certified Plastic Surgeon
4.9 | 97 Reviews
Answered on Jul 1, 2015
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Dr. David Finkle, MD
Dr. David Finkle, MD
Board Certified Plastic Surgeon
Answered on Jul 5, 2015
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Dr. Joseph Franklin, MD
Dr. Joseph Franklin, MD
Board Certified Plastic Surgeon
Answered on Jul 1, 2015
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1 person found this helpful
Dr. Steven Wallach, MD
Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Jul 1, 2015
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Dr. Andrew Kornstein, MD, FACS
Dr. Andrew Kornstein, MD, FACS
Board Certified Plastic Surgeon
Answered on Jul 1, 2015
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Jeffrey A. Sweat, MD

There are really several things to take into consideration when answering this question.  Certainly, you could have a  bilateral DIEP, but keep in mind that you are having a prophylactic operation on the right side with immediate reconstruction (which will save more skin and...

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Dean Trotter, MBBS, FRACS

Hi there,Yes, I think you are right.  Removing the sutures will most likely solve your problem.  I suggest you book into see your Plastic Surgeon who I'm sure will be very happy to see you for long term follow-up and sort out the sutures for you.All the best,Dean

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Manish C. Champaneria, MD

Thank you for your question.Yes, a DIEP flap can have an implant underneath. However, this is not typically done at the same time. It is done several months after, once the DIEP has healed and settled. If you need more volume, another option is a TUG flap (transverse upper gracilis flap) or a...

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Lewis Albert Andres, MD

Hello!  Thank you for your question. Yes - you are correct in thinking that the ultimate appearance will depend on the mastectomy incision. The skin taken from the abdomen will ultimately serve to replace the skin removed. At immediate reconstruction, it would be common just to have the...

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