Topic: Unusual surgery - Local Axillary flap

Forum: Breast Reconstruction — Talk with others facing decisions about whether or not to have breast reconstruction, and if so, what type and when.

Posted on: Feb 21, 2022 07:53AM

Posted on: Feb 21, 2022 07:53AM

camama2 wrote:

I have an unusual situation and am hoping someone has some input for me. 2005 I had lumpectomy, TAC & radiation due to TNBC. In 2010 I had gastric bypass and lost over 100 pounds. Fast forward to 2020 TNBC again. Chose to have DMX. Had to put off reconstruction because of being on Xeloda for one year. Met with PS in January. Due to my gastric bypass and having kept the weight off I have extra skin and tissue on my sides so my PS is recommending an unusual surgery which she told me I wouldn't find any input on. She calls it "Local Axillary flap / chest wall free fat transfer approach". Hoping she's wrong and someone in this forum can give me input. Instead of taking tissue from my back she's going to take it from my sides and then supplement with some liposuction. She is concerned that my radiated side may have issues with blood flow but thinks we will be successful. If not I will have LDF after I heal. Assuming the first surgery is successful I will then have another surgery to put in TE. I see lots of posts with advice for LDF, which seems the closest to my situation but I'm hoping that someone can give me advice. Not exactly sure what I'm facing but trying to think positively. My surgery is scheduled for March 10th.


Laurie Dx 6/24/2005, IDC, Right, 5cm, Stage IIIB, Grade 3, 2/17 nodes, ER-/PR-, HER2- Surgery 7/21/2005 Lumpectomy; Lymph node removal Radiation Therapy 2/14/2006 Dx 4/29/2020, IDC, Right, 3cm, Stage IIB, Grade 3, ER-/PR-, HER2- Surgery 5/13/2020 Mastectomy; Mastectomy (Left); Mastectomy (Right); Prophylactic mastectomy; Prophylactic mastectomy (Left) Chemotherapy 6/3/2020 Carboplatin (Paraplatin), Taxotere (docetaxel) Chemotherapy TAC
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