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Topic: Tissue Expander Rotated

Forum: Surgery - Before, During, and After — Surgical options and helpful tips for recovery and side effects.

Posted on: Oct 18, 2019 02:53PM

Luckymomof4 wrote:

I am 4 weeks post op from a bilateral mastectomy with TEs. I had my second fill yesterday and my rightTE today has shifted/rotated completely. I felt a pop and some pain and immediately knew something was wrong. I did contact my PS who said it’s not an emergency but he will see me Wednesday (that’s when he does clinics at Moffitt) Has anyone had this happen nd what was the solution if any? The magnet used to be at the top of my breast and is now at the bottom, most of the liquid has risen to the top and pushed into my upper chest near my collarbone....the bottom below the incision is flat and with little saline. I am completely lopsided and have a marginal amount of pain (just when I was feeling a little like ,self again🙁)

I admittedly am freaking about the possibility of another surgery so soon. Anyone have any input?


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Oct 19, 2019 10:03PM ipenelope wrote:

Lucky- I sadly can't offer you advice on your situation but I'm sorry to hear your having you go through it! I hope your PS can resolve the issue without surgery!! I've heard of implants flipping over but not rotating maybe they'll be able to rotate it back where it's supposed to be. Thoughts with you!!

~Katie💗

Katie💗 Diagnosed stage IIB at 42, diagnosed stage 4 mets to left lung age 44 Dx 9/12/2018, IDC, Left, 4cm, Stage IIB, Grade 3, 1/21 nodes, ER+/PR-, HER2- (IHC) Surgery 11/15/2018 Lymph node removal: Left, Sentinel, Underarm/Axillary; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 12/20/2018 AC + T (Taxol) Surgery 6/13/2019 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant Hormonal Therapy 6/22/2019 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 11/21/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting Dx 2/24/2020, IDC, Left, 1cm, Stage IV, metastasized to lungs, ER-/PR-, HER2- Surgery 3/18/2020 Chemotherapy 4/20/2020 Abraxane (albumin-bound or nab-paclitaxel) Immunotherapy 4/20/2020 Tecentriq (atezolizumab)
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Oct 20, 2019 03:15PM Luckymomof4 wrote:

Katie

Thank you so much for your kind thoughts and words! I guess we will see what happens next when I meet w him. I was hoping someone else had insight.

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Dec 9, 2019 05:08AM BeachBunny wrote:

Hi Lucky,

Don’t know if this will help but I just logged in to find “expander experience and there’s few of us posting so I’ll share with you. First, I’m sorry you felt pain but my PS saw me last week and I’m reassured that it’s not that unusual for an expander to move but they are completely contained (don’t puncture) so unlikely to leak.

He has now manipulated (with his hand) my right one twice in his office after it flipped. Did not hurt, though felt weird and a bit uncomfortable for a few minutes. The back flipped to the front so the magnet was inaccessible until he flipped it back. The first time was after the radiation oncologist had 300 cc’s removed after full expansion because of the angle of obstruction. Sometime that month the de-expanded right one flipped. Wasn’t urgent in my case and I was relieved he could do it in the office. Added 200 cc’s saline then.

Paused for a couple of months to have a kidney issue treated. Appointment with PS was last week and sure enough, the pesky right one had flipped again in my sleep. It was more full, but he flipped it in half the time during my office exam, then filled it up. He’ll check me in 2 months and schedule surgery for the implants in March.

So, when it flipped again on Friday night I was pretty dismayed. Sunday I slathered on Aquaphor to give my post-radiation skin an extra moisturizing treatment. And this morning I deliberately lay on my side/stomach and gently massaged the right one. Sure enough, gravity worked for me this time - it flipped back! It’s ok, looks like it should and is more comfortable.

“Do not try this at home”. Seriously, I would always recommend calling your plastic surgeon to pop in for a quick flip, as I was about to do, but after two flips I knew what it felt like and I think I knew when to stop. I am shocked it went back so I don’t have to make an appointment. I think he said it happens about 20% of the time, and they’re all trained to fix it.
Go Wednesday. Don’t worry. And if anyone here has suggestions on how to sleep on our backs without rolling over, please post.
Hope this helped, Lucky.

Dx 2/12/2019, IDC, Right, 6cm+, Stage IIB, 1/4 nodes, HER2- Surgery 5/15/2019 Lymph node removal; Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy 6/23/2019 Arimidex (anastrozole) Radiation Therapy 7/17/2019 Breast, Lymph nodes, Chest wall
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Jan 6, 2020 02:17PM Luckymomof4 wrote:

I just saw this and wanted to say thank you so much for the reply! We did flip mine back into position but it rotated right back before I even left the hospital! I rotated it my self once but again it rotated right back and is so uncomfortable when it moves that I just said screw it! I’m scheduled for surgery next Friday for the exchange. I am worried I’ll be more likely to encapsulate or something w the implants but I’ll take it as it comes. Wishing you the best of luck!!

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