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Topic: skin sparing without expanders

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

Posted on: Apr 4, 2012 07:12AM

lbrewer wrote:

I am set to have a skin sparing mastectomy soon but the have to wait unitl chemo and rads for SGAP reconstruction.  One PS says to put it TE.  One says its not necessary.  I don't konw where to turn.  Has anyone had a Skin sparing but did nothing?  I don't know how to face this decision!

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Apr 4, 2012 06:18PM DocBabs wrote:

I would say go for the TEs. They will give you a near normal "look" while you take care of all your treatments. It was a very comforting feeling to wake up from my BMX and still have what looked like breasts. Granted they were much smaller than my own but I also kind of got used to and liked having smaller breasts. I wore cammis all summer with no bra!!

DocBabs Dx 4/28/2011, IDC, Stage Ia, Grade 1, 0/1 nodes, ER+/PR+, HER2- Surgery 05/13/2011 Mastectomy (Left); Lymph Node Removal (Right); Reconstruction: Tissue expander placement, Breast implants (permanent) (Both) Surgery 05/13/2011 Mastectomy (Both); Lymph Node Removal: Sentinel Lymph Node Dissection (Right) Hormonal Therapy 07/15/2011 Aromasin
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Apr 5, 2012 10:23PM Raelan wrote:

I just had a skin sparing BMX without TEs. Both my BS and PS are strong proponents of letting your body heal from the initial surgery before starting reconstruction. Assuming I don't need chemo (waiting for oncotypeDX score) I'll get my TEs in in about 6 weeks. My PS indicated there is no problem with waiting and the risk of complications decreases significantly.

Dx 3/10/2012, IDC, 2cm, Stage IIb, Grade 2, 1/2 nodes, ER+/PR+, HER2- Surgery 04/04/2012 Mastectomy (Right); Lymph Node Removal: Sentinel Lymph Node Dissection (Right); Prophylactic Mastectomy (Left) Chemotherapy 05/04/2012 Cytoxan, Taxotere Radiation Therapy 08/08/2012 External Hormonal Therapy 10/08/2012 Tamoxifen Surgery 03/21/2014 Reconstruction: Tissue expander placement (Both) Surgery 10/13/2014 Reconstruction: Latissimus Dorsi flap (Right) Hormonal Therapy 01/03/2015 Arimidex Surgery 02/10/2015 Reconstruction: Breast implants (permanent) (Both)
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Jun 3, 2012 12:05AM Ami1026 wrote:

My PS won't put the TEs in at time of mastectomy for the same reason - wants the skin to recover and give the TEs the best possible chance to succeed.  While I'm really disappointed I truly appreciate his committment to what we both feel is my best recon option.  He has said he'll put the TEs in a week or 2 after mastectomy, I guess just a little recovery time for the skin/blood supply makes a big difference.  So, I feel your frustration, but in the big picture it is not as bad as it sounds and may actually improve your ability to tolerate the TEs/etc.  I hope things work out for you!

Dx 5/17/2012, DCIS, 4cm, Stage 0, Grade 2, 0/3 nodes, ER-/PR- Surgery Reconstruction: Breast implants (permanent) (Left) Surgery 06/11/2012 Mastectomy (Right) Surgery 07/12/2012 Reconstruction: Tissue expander placement (Right)
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Jun 3, 2012 06:51AM Galsal wrote:

Had skin-sparing bmx and was not permitted to have immediate reconstruction on the likelihood that rads and chemo would be needed.  Although I planned on having a Tram, nothing was put in temporarily because of the assumed probability that rads would be needed.  Just my experience.

Dx 12/14/2011, ILC, 1cm, Stage I, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 02/10/2012 Mastectomy (Left); Prophylactic Mastectomy (Right) Hormonal Therapy 03/10/2012 Tamoxifen Surgery 07/09/2012 Reconstruction: DIEP flap (Both) Hormonal Therapy 10/06/2012 Arimidex Hormonal Therapy 12/13/2012 Femara Hormonal Therapy 04/16/2013 Aromasin Surgery 07/15/2013 Reconstruction (Both) Surgery 08/16/2013 Reconstruction (Right) Surgery 02/13/2014 Reconstruction: Tissue expander placement (Both) Surgery 06/24/2014 Reconstruction: Tissue expander placement (Right) Surgery 10/23/2014 Reconstruction: Breast implants (permanent) (Both)