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Topic: Contracture surgery, what to expect

Forum: Breast Reconstruction —

If you've had or will be having a mastectomy (or in some cases, lumpectomy), you're likely facing decisions about whether or not to have breast reconstruction, and if so, what type and when. Deciding whether or not to have a breast reconstructed is a very personal choice. Take the time you need to learn about how breast reconstruction might affect you, both emotionally and physically, before you decide to have the surgery.

Learn about different surgical options and the medical and personal issues around breast reconstruction.

Intro medically reviewed by: Brian Wojciechowski, M.D.
Last review date: November 22, 2020

Posted on: Nov 10, 2020 01:16AM

ready2bedone wrote:

Hi, I have a contracture on my left breast which feels quite hard. I have surgery scheduled this week to fix it but I actually have no idea what to expect. My implants are on top of my pectoral. Has anyone had this done who can tell me what the surgery is like? How long is it generally? Where do they do the incision? What is the recovery like? I won't see my PS until the day of the surgery so won't get a chance to ask all these questions.

Surgery 11/13/2010 Reconstruction (left): Fat grafting Dx 4/2017, DCIS/IDC, Left, 1cm, Stage IIA, Grade 2, 1/3 nodes, ER+/PR+, HER2- (FISH) Surgery 11/29/2020 Reconstruction (left) Surgery Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy Femara (letrozole) Surgery Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
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Nov 10, 2020 05:10PM MinusTwo wrote:

You really do need to discuss with with your surgeon. Can you call? Or "My Chart"? Or Facetime? There are no general answers because every PS is different. I for one would not go into surgery w/o a lot of details.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Mar 31, 2021 01:21AM BlueCoconut wrote:

Can you update on your surgery? I have a contracture on my left side (radiated side). I have an appointment with my PS on Monday but I’m seeking info. My breasts are very lopsided and the left one keeps creeping higher every day

Dx 8/30/2019, DCIS/ILC, Left, 3cm, Stage IIB, Grade 2, ER+/PR-, HER2+
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Mar 31, 2021 01:51AM ready2bedone wrote:

I am sure everyone's experiences and surgeries are different, so I can only share what mine was like. My plastic surgeon first did more fat grafting to increase the padding under my skin since my implants are above my pectoral muscles. Then after that had a few months to heal, he removed the actual contracture. He made an incision under my breast, removed the implant, cleaned the pocket and inserted a new implant. I also had a little more fat grafting at that time. I had to limit lifting to 3-5 lbs and sleep on my back. I was very good with that, but two and a half weeks after my surgery, I bent over to clean up something and within a minute, felt a lot of swelling. My breast became hard and very misshapen. I called andbit was determined I had a large hemotoma. I was sent to the ER where they admitted me and did emergency surgery. That part was because I was on blood thinners, not a normal complication. After that surgery, at first I was very upset because that side was much higher than the other and further under my armpit. But, after a couple of months, it dropped back into place. My implant is soft again and feels quite natural. My only complaint now is that one nipple is considerab higher than the other and I have some puckering, but those are issues I had before my contracture.

I shared all that but really the contracture removal itself is a fairly easy surgery and should give you good results. Just make sure you are very careful when you while it heals.

Surgery 11/13/2010 Reconstruction (left): Fat grafting Dx 4/2017, DCIS/IDC, Left, 1cm, Stage IIA, Grade 2, 1/3 nodes, ER+/PR+, HER2- (FISH) Surgery 11/29/2020 Reconstruction (left) Surgery Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy Femara (letrozole) Surgery Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant

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