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Also, is it normal to have pains in particular spots when taking a deep breath - i. e., I get a pain near breastbone when I take a deep breath? Check the temperature of the water first with your back or hand. The volume in the expander will be similar to the volume in the permanent implant, but the firm, projecting shape of the expander will be exchange for a softened, more breast-like appearance with the permanent implant. The skin above your expander is at risk for breakdown and infection if not cared for properly. Right after your mastectomy, your reconstructed breast(s) may be smaller than your breast(s) were before surgery. Looks like he filled them quite a bit - surprised to see I actually have a bit of cleavage. Reconstruction of the nipple can be performed alone or can be combined with other contouring procedures such as fat grafting or scar revision. There are 2 ways to place your tissue expander: -. Please finish taking all of your antibiotics as prescribed. What to Expect With Nipple and Areola Reconstruction Frequently Asked Questions Can tissue expanders cause low back pain? In this procedure, your nipple will be reconstructed using your breast skin. Button-up, loose-fitting dresses. Although rare, there are warnings that the saline valve could leak, the tissue expander may move or slip in the chest, or that scar tissue can impact the expander.
To correct capsular contraction, surgical options range from removal of the capsule tissue to removal and possible replacement of the implant itself. Understanding the choices is important and your surgeon will assist you in educating yourself regarding the options available. Traditionally, the pectoralis muscle covers the entire expander, but this creates more pain and slows the expansion process because the muscle has been stretched over the entire implant. The tissue expander has a port for expansion that includes a metal alloy. Muscle relaxants or opioids: These prescription medications may be used if NSAIDs fail to provide relief, but they should be used sparingly and only to ease the worst pain directly after a fill. A blend of these 2 procedures. Your surgeon will replace the air in your tissue expander with liquid about 2 weeks after your surgery. This is especially useful as your breast mound gets bigger during expansion. Direct-to-Implant Breast Reconstruction. The intensity and duration of pain after breast reconstruction will vary among women. This includes lifting pets and children.
Your surgeon will stop filling your tissue expander when it reaches the breast size you agreed on. They ended my second surgery with external stitches on the problematic side, unlike the internal dissolvable stitches used before. Often, eating yogurt may help to alleviate some of the side effects of antibiotics. A tissue expander should not cause changes in the color of the breast tissue. By that time, the drain sites are most often healed. Most women today are electing to have immediate reconstruction (reconstruction performed at the same time as the mastectomy), but occasionally immediate reconstruction is not recommended due to factors that are related to the breast cancer itself. Wear your surgical bra 24 hours a day until your doctor gives you other instructions. Maxi pads for this surgery!!!!! Both implants are safe and FDA approved for use in breast reconstruction. You can take a full shower 24 to 48 hours after your drains are removed. Multiple IV lines, and a loose oxygen mask lay on the bed. Having already went through my first mastectomy in August, I thought I knew what to expect. After You Finish Your Tissue Expansion.
If blood supply to the overlying tissue is compromised or if wound healing is interrupted extrusion may occur. Larger ones require the placement of surgical drains for proper healing. The blood I had lost impacted my energy and I had no appetite. Prior to having breast cancer, I naively thought a bilateral mastectomy consisted of removing old boobs and putting in new "permanent" implants. Other common feelings you may have after your surgery are: - Numbness under your arm and over your chest on the affected side. The good news is that research shows that tissue expander surgeries have a low rate of complications (6. After monitoring and tracking my pain medication with extreme detail, Mac devised a new plan for the timing and dosage.
AlloDerm® also permits more saline solution to be placed into the expander at the initial surgery, allowing a patient to be several months down the road in terms of expansion, which ultimately translates into fewer needed expansions. Check your incisions and drain sites. Four weeks after surgery, Dr. Maguire will begin inflating the expander. Your surgeon will tell you how long to avoid getting it wet.
Radiation-induced fibrosis: mechanisms and implications for therapy. For reference, Mac slept for the first time around 5:45am Wednesday morning. Follow your surgeon's instructions. 8K Colorectal Cancer. Do not get your dressing wet for 24 to 48 hours (1 to 2 days) after your drains are removed. Do not aim the shower stream at your reconstructed breast. Your nurses and nursing assistants will care for your JP drains while you're in the hospital. This life-threatening condition is characterized by symptoms such as sudden fever, vomiting, diarrhea, fainting, dizziness, and/or sunburn-like rash. I don't want to look back and have regrets or worry that I could have done more to prepare myself for the future. Do not take Motrin/Ibuprofen or Aspirin products for 1 week after surgery. For more information on reconstruction, click here or here.