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Topic: Red Breast Syndrome

Forum: Breast Reconstruction — Is it right for you? Discuss timing and various procedures and techniques.

Posted on: Apr 22, 2012 08:07PM

martha5311 wrote:

    I had BM 1/12/12 with immediate reconstruction with expanders. My right expander "breast" skin  has developed redness over the entire breast and also along the incision line (and about 1 inch below it as well). The skin looks awful (and this had been going on for several weeks). My PS has ruled out infection and says it is Red Breast Syndrome- something they really don't know a lot about. He says it may be an allergic reaction to the Alloderm used with the expanders and that it usually clears up once the Alloderm incorporates fully into the skin (and may take many months to clear up). I am worried that it may never clear up and am considering having expanders removed and not having implants . My left side looks fine but I keep getting a sharp pain there which the  PS says is also due to the Alloderm! Has anyone else experienced this Red Breast Syndrome and did it resolve? Thanks!

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Apr 22, 2012 08:14PM 1openheart wrote:

I had redness in the bottom half of my lifted breast for about 8-9 weeks.  My PS said that it was blood vessels reconnecting and regenerating.

I did not have it on my mastectomy side and I had a direct to implant reconstruction with alloderm. I did and still have pain in my mastectomy side, but it is getting better and better with PT, stretching and cold laser therapy.  Yea!

Don't give up the ship yet.  I'm learning this process takes time and patience.  Be well. 

"The wound is the place where the light enters you." ~ Rumi

Dx 4/28/2011, DCIS, 1cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+Surgery 06/15/2011 Mastectomy (Left); Lymph Node Removal: Sentinel Lymph Node Dissection (Left); Reconstruction: Breast implants (permanent), Nipple reconstruction (Left)
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Apr 22, 2012 08:20PM Twinmom77 wrote:

I just found out about red breast syndrome and I think I might have it. I had my BMX on 1/30 and I've had a couple bouts with cellulitis/staph and a surgery to replace both TE's. About a week ago (one month after the 2nd surgery) I got the redness you described but only from my incision line south...so right where the Alloderm is. I haven't seen my regular PS for a month cause he's been out of town but I plan on asking him about it this week. If what I have is red breast syndrome then I'll tell ya what - it's a walk in the park compared to cellulitis and staph infections. If you're not having other complications then I would say hang in there. For me this has been an incredibly stressful reconstruction process so far and it feels like there's no end in sight, so I know how it feels to just want these stupid expanders out. But it sounds like you're doing fairly well aside from the RBS and it may clear up sooner than later. Hopefully, someone who has more experience with it can chime in. Good luck to you!

1st dx 6/09 IDC, Stage I, HER2/ER/PR+, 0/2 nodes

Dx 6/12/2009, IDC, 1cm, Stage I, Grade 3, 0/2 nodes, ER+/PR+, HER2+Dx 12/23/2011, IDC, <1cm, Stage I, Grade 2, 0/4 nodes, ER+/PR+, HER2-Surgery Reconstruction: Breast implants (permanent) (Both)Targeted Therapy 07/21/2009 HerceptinChemotherapy 07/21/2009 carboplatin, TaxotereSurgery 12/08/2009 Lumpectomy (Left); Lymph Node Removal: Sentinel Lymph Node Dissection (Left)Radiation Therapy 01/30/2010 ExternalSurgery 01/30/2012 Reconstruction: Tissue expander placement (Both)Surgery 01/30/2012 Mastectomy (Both); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Hormonal Therapy 02/09/2012 Tamoxifen
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Apr 22, 2012 09:14PM cbecchetti wrote:

I have redness also as you have discribed.  My PS is concerned because when she went to take out the expander on one side was constricted (a lot of scar tissue build up).  She is concerened that this is what I have going on only 2 weeks after my silcone implants.  She gave me 2 more weeks to shee how it goes.  Maybe the Red Syndrome is what I have.  I will check into that more.  Thanks for posting. 

Cherie

Dx 7/1/2011, DCIS, 6cm+, Stage 0, Grade 1, 1/1 nodes, ER+/PR+, HER2-Surgery 08/04/2011 Lumpectomy (Right)Surgery 09/16/2011 Lumpectomy (Right)Surgery 11/02/2011 Mastectomy (Both); Reconstruction: Tissue expander placement (Both)Surgery 04/05/2012 Reconstruction: Breast implants (permanent) (Both)
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Apr 23, 2012 07:53AM, edited Apr 23, 2012 07:54AM by Erica

I think a woman on these boards, momoftwo526, had this problem. It did seem to be a reaction to the alloderm. At her exchange, her PS removed the alloderm, I think, and told her that it had never fully integrated into the skin. She was doing well after the exchange, but that was back in January, so not sure how she's doing now. I don't think she's posted for a while, but maybe you could send her a PM (private message).

Barbara

BreastFree.org (breastfree.org); BreastFree Blog (breastfree.blogspot.com); Twitter @BreastFree

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Apr 26, 2012 05:59AM Twinmom77 wrote:

cbecchetti - did you have a lot of tightness/hardness when you had the TE on the side with scar tissue? When my PS removed and replaced my TE's, he said there was a lot of scar tissue that he had to scrape out of my left side. That was about 6 wks ago and the past couple weeks my left side has been very hard and tight and sits higher up on my chest than the right side, which is softer. I'm just worried this is the start of some capsular contracture.  What does your PS plan on doing after the 2wks to see how is goes is up?

1st dx 6/09 IDC, Stage I, HER2/ER/PR+, 0/2 nodes

Dx 6/12/2009, IDC, 1cm, Stage I, Grade 3, 0/2 nodes, ER+/PR+, HER2+Dx 12/23/2011, IDC, <1cm, Stage I, Grade 2, 0/4 nodes, ER+/PR+, HER2-Surgery Reconstruction: Breast implants (permanent) (Both)Targeted Therapy 07/21/2009 HerceptinChemotherapy 07/21/2009 carboplatin, TaxotereSurgery 12/08/2009 Lumpectomy (Left); Lymph Node Removal: Sentinel Lymph Node Dissection (Left)Radiation Therapy 01/30/2010 ExternalSurgery 01/30/2012 Reconstruction: Tissue expander placement (Both)Surgery 01/30/2012 Mastectomy (Both); Lymph Node Removal: Sentinel Lymph Node Dissection (Right)Hormonal Therapy 02/09/2012 Tamoxifen
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Apr 26, 2012 03:37PM TerriD wrote:

***URGENT*** HI Ladies, I will be posting this issue on various threads, because I need a pretty quick response, so thanks you to anyone who can help/share:  This question is for my mom. BACKGROUND: She just finished radiation. Not sure how many treatments, I think it was for 5 weeks.  She was stage 1, and this is her second cancer episode, first time was 10 years ago (me, her and my youngest sister have all had breast cancer twice each, and each recurrence was 10 years later...)

OK QUESTION:  mom just called me her radiation dr told her she has cellulitis (last week) She has been on a sulfur oral antibiotic and has had no relief, hot-to-touch rash on rad site and tenderness.

Now I have had my own issues with cellulitis, I have had many episodes (over 40) and have only had it 2x with out a fever present.  so I wonder... I also had a lot more rads then she did, so could it be radiation burns??  That she has? 

I finished rads in 2009 and lost my skin etc, I did not end up with a hot to touch rash that was from radiation - that I am aware of, I did have hot-to-touch cellulitis issues (that started way b4 rads ever did) and was usually accompanied with a 103.5 fever.

Mom  has no fever.  The rad dr gave her an oral antibiotic a week ago and it is still hot-to-touch.

COULD THIS "JUST" be a radiation burn???  (I HATE to say "just", I know how hard it is...)

If not, I have to assume it is cellulitis, like the dr said, but I know how hard it is to dx this animal.

Mom is in FL I am in MI so I cant look at it, she says the "rash" is on her chest on the radiation site. In my case my rash went up my arm, and across the chest and back...hers is not spreading...so I wonder if this is just a rad side effect and NOT cellulitis???

The problem is she has heart issues and has also had c-diff in the past, so allowing a strep bacteria unattended is a real bad idea, and having IV antibiotics would be hard too (due to her

c-diff history). 

She is ready to go to the ER, either way I told her that this should not be treated by her rad dr, that she needs to see an infectious disease dr. 

Suggestions?  comments? 

Oh, and just in case can anyone recommend an Infectious disease dr in Ft Lauderdale area?  THANKS Terri

2x survivor. 1Peter 2:24 Claim Victory! Dx1 age 37 Masc 2/2000 Tumor 4.5cm ER+ Implant Chemo 6 months Dx2 age46 Masc 12/2008 No recons.ER+ Chemo 6 months 36Rads 2/12 Lymph nodes Mild Lymphadema Re-current cellulitis (over 40 episodes!)

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Apr 27, 2012 03:53AM TerriD wrote:

I created a thread if you care to comment or follow thanks t

Could this be radiation burns or cellulitis???

2x survivor. 1Peter 2:24 Claim Victory! Dx1 age 37 Masc 2/2000 Tumor 4.5cm ER+ Implant Chemo 6 months Dx2 age46 Masc 12/2008 No recons.ER+ Chemo 6 months 36Rads 2/12 Lymph nodes Mild Lymphadema Re-current cellulitis (over 40 episodes!)

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May 9, 2012 11:19AM martha5311 wrote:

Thanks all who posted on this red breast syndrome topic- it has been a frustrating part of this whole process.It is helpful to know I am not the only one who has had this. Unfortunately, my left breast pain has not abated and I am scheduled soon to have expanders taken out . I am actually a three time cancer survivor- melanoma 10yrs ago, uterine cancer with chemo finished May 09, and now breast cancer. I am ready to get on with my life  and hope I will be pain free after the surgery to remove the expanders. I am ,however, struggling with coming to terms with being breast free. Oh well- part of the process. Best of luck to all of you ( and hope TerriD that your mom finds the answers she needs)

Dx 12/12/2011, DCIS, Stage 0, Grade 3, 0/1 nodes, ER+/PR+