Ask an Expert: Delayed Reconstruction

Johns Hopkins Avon Foundation Breast Center
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Delayed Reconstruction
Questions about Delayed Breast Reconstruction.
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 Asked: 11/12/2018 Has any one had a nipple sparing mastectomy without expander ,, it still possible to do reconstruction later .
 Asked: 11/8/2018 What are the signs of nipple necrosiscweek after NAC conserving mastectomy .
 Asked: 11/6/2018 Can delayed reconstruction be performed under local anesthesia ..i have another question please it is rather a request to contact you by e-mail if...
 Asked: 10/30/2018 when is delayed reconstruction preferred over immediate reconstruction is radiation therapy a contraindication or it depends on the prostheses used
 Asked: 10/25/2018 i would like to ask when skin sparing mastectomy is not indicated peri areolar area tumor one of them ??..does it carry more risk...
 Asked: 6/22/2018 Hi, I am interested in a breast lift and reduction on my health y breast to achieve symmetry with the one that has lumpectomy and radiation.
 Asked: 4/23/2018 Have you ever heard of a patient deciding to delay reconstruction with flap for a couple of years to see if new and improved techniques...
 Asked: 4/17/2018 Is a 6-month gap between removal of the breasts and flap reconstruction common, recommended, typical? Thanks!
 Asked: 4/16/2018 How realistic is this delayed reconstruction schedule? Get a double BMX, nipple and skin sparing.
 Asked: 4/5/2018 A patient wants a double mastectomy with nipple sparing.
 Asked: 4/3/2018 I had an excisional biopsy for a large complex cyst 6 weeks ago.
 Asked: 3/19/2018 Hello I had a tissue expander put in place 3and a half years ago It is still there and causing me a lot of pain I .
 Asked: 3/5/2018 I had post mastectomy pain syndrome that lasted a year and a half but went away, because of this, I delayed any thoughts of reconstruction...
 Asked: 2/22/2018 Are any patients pleased with their reconstructed breasts? If so, which procedures yield the most satisfied patients after healing with post op results? Are all...
 Asked: 1/22/2018 In 1996 had a left mastectomy with reconstruction (saline implant under the pectoral muscle and nipple reconstruction) and have never been pleased with the result
 Asked: 12/30/2017 Can you offer any information on pre pectoral implants vs regular under the muscle? Advantages/disadvantages to each?
 Asked: 11/30/2017 Lillie, I considered doing bilateral mastectomies and wanted to keep my same size breasts A cup.
 Asked: 11/27/2017 Dear Lillie, Very small breasted(A cup) women need every speck of breast tissue to remain that doen’t have to be removed for core biopsy or surgical...
 Asked: 11/5/2017 I am five years out from dx.
 Asked: 10/9/2017 Dear Lillie, Thank you for your reply to my prior inquires.
 Asked: 10/9/2017 A quarter of my breast tissue was removed at lumpectomy resulting in it now being much smaller with a dimple and concave area.
 Asked: 10/8/2017 Lillie, My prior letter 5/21/2017 talks about my very small, but well shaped breasts pre-op.
 Asked: 10/8/2017 I had a nipple sparing mastectomy in January and am looking at reconstruction in the near future.
 Asked: 9/20/2017 Is there much of an allergy risk with a sentinel node biopsy? I''m scheduled to have some sort of radioactive isotope injected the day...
 Asked: 9/19/2017 I am scheduled to have bilateral non-nipple sparing mastectomies on 10/31/17 for bilateral DCIS (right side is high grade comedo type & left side is...
 Asked: 8/28/2017 I had bilateral mastectomy 15 years ago and I had chemo but no radiation is it possible for me to get silicone implants I''m interested...
 Asked: 8/6/2017 I had a lumpectomy with oncoplastic surgery in June 2016.
 Asked: 7/13/2017 What are the results of fat graft after receiving radiation 8 years ago?
 Asked: 6/16/2017 hi, I had bilateral Mastectomies at the same time I had expanders placed, this was for for TNBC stage 1 (1.9 cm) tumor had Chemo...
 Asked: 6/10/2017 I will be having reconstruction after a nipple sparing mastectomy.
 Asked: 6/5/2017 Immediate reconstruction.
 Asked: 6/5/2017 I had a consult this week to review reduction on right to balance with left that underwent significant lumpectomy and radiation.
 Asked: 5/22/2017 My surgeon recommended lumpectomy w/radiation or mastectomy with or without reconstruction. I chose to have a lumpectomy right and left breast. The left breast had a 3mm...
 Asked: 5/9/2017 Hi! I had a modified radical DMX and delayed breasts reconstruction with expanders and shaped silicone implants.
 Asked: 3/22/2017 I had breast reconstruction Feb 13th. I had Silicone breast implants put in.
 Asked: 3/21/2017 Can I have implant based reconstruction three years after mastectomy and radiation?
 Asked: 3/21/2017 I had a radical mastectomy done 21 years ago + chemo + radiation.
 Asked: 2/21/2017 confused about how much skin is used of a diep flap when there is already skin from the skin sparing bi lateral mx- (had silicone...
 Asked: 2/5/2017 what type of breast reconstruction can I have when surgery was done 26 years ago?
 Asked: 1/27/2017 Hi I have been offered a reconstruction from the inner thigh, how does this compare with taking from the upper buttock area? thank you,
 Asked: 1/9/2017 I had a double mastectomy 19 years ago.
 Asked: 12/14/2016 Hi - I had a bilateral skin and nipple sparing mastectomy with expanders in May 2015.
 Asked: 10/17/2016 Do you offer any delayed reconstruction options for obese(bmi over 40) patients who have had radiation after mastectomy?
 Asked: 10/6/2016 I had partial mastectomy 5 years ago for DCIS and small amount of invasive cancer was found as well.
 Asked: 9/11/2016 I am now 3 months out from acute treatments (surgery, chemo and rads).
 Asked: 6/12/2016 I had a lumpectomy in October2014 followed by chemotherapy and radiation.
 Asked: 6/3/2016 I am considering a DIEP flap after having had a mastectomy of my right breast.
 Asked: 5/17/2016 Thank you for your previous reply. I didn''t have radiation.
 Asked: 5/11/2016 I have multicentric bc and scheduled to have oncoplasty in two weeks.
 Asked: 5/8/2016 I had delayed bilateral breasts reconstruction with expanders and textured shaped silicone implants after bilateral modified radical mastectomies.
 Asked: 4/26/2016 I had a TRAM reconstructions 12 years ago.
 Asked: 4/20/2016 Had a lumpectomy for atypical ductal hyperplasia.
 Asked: 4/14/2016 Is it more likely to detect metastasis earlier when you do not have reconstruction?
 Asked: 3/31/2016 I chose no recon for my unilateral mast scheduled on 4/5.
 Asked: 3/27/2016 Having delayed breasts reconstruction (expanders + shaped silicone implants)after modified radical mastectomies 2 years ago, would it offer the same results than inmediate breasts reconstruction?..
 Asked: 3/22/2016 I had a bilateral mastectomy over 7 years ago.
 Asked: 1/24/2016 I had a silicone breast implant inserted about 3 years ago in conjunction with a latissimus dorsi flap after mastectomy.
 Asked: 12/3/2015 I had a left simple mastectomy 12 years ago with tissue expander and then permanent silicone implant in 2 stages 6 years ago and have...
 Asked: 11/18/2015 I was diagnosed with a stage 0 DCIS and had a single skin and nipple sparing mastectomy of my right breast on October 8, 2015.
 Asked: 10/12/2015 Is it still okay to have reconstruction without tissue expanders in place? Had a double mastectomy, chemo and just finished my radiation.
 Asked: 10/12/2015 If there is an expander in place but you are planning on have the reconstruction after chemo and radiation, can the doctor "pump" your breast...
 Asked: 10/9/2015 I am going back and forth of getting an areola tattoo since March.
 Asked: 10/5/2015 I was dx and treated for stage 3 infiltrating lobular breast cancer .
 Asked: 9/28/2015 Can I have radiation if I have an expander in place that contains metal? If not, is it possible to change to one with...
 Asked: 9/27/2015 First a thank you to Lillie. I am 2 & 1/2 years post bilateral mastectomies.
 Asked: 9/27/2015 I recently had a right tissue expander (explanted 4 years ago due to infection) replaced with a shaped implant and consulted with an infectious disease...
 Asked: 9/22/2015 I had a mastectomy in January 2014 followed by chemo and radiation.
 Asked: 9/16/2015 I chose mastectomy for clinical stage 1 breast cancer because of strong breast cancer family history (as well as numerous other cancers).
 Asked: 9/10/2015 I am 9 months post acute Guillian Barre (GBS) and still recovering.
 Asked: 8/19/2015 I have tissue expanders in and the plastic surgeon would like to perform the second surgery of putting in the implants, my question is how...
 Asked: 7/19/2015 I had a complete mastectomy 8 yes ago,is it too late to do reconstruction? Will recovery be horrible? Thank you, Susan.
 Asked: 6/7/2015 My question is related to delayed reconstruction versus immediate reconstruction.
 Asked: 6/7/2015 I had a left mastectomy in 3/14.
 Asked: 5/1/2015 Follow up on obese women and reconstruction: Thank you for such a swift response.
 Asked: 5/1/2015 Why can''t "obese" women get DIEP or implant breast reconstruction? What are the options for them? I am 38 pounds overweight.
 Asked: 4/22/2015 Can I have a secessful surgery after removal of an implant, infected so bad that it actually popped and fluid gushed out.
 Asked: 4/13/2015 What are the cosmetic difference between a delayed DIEP and a non-delayed DIEP?
 Asked: 4/5/2015 I am wondering, after so much pain with a left Breast mastectomy, as to whether I should wait until after chemo and radiation to do...
 Asked: 3/23/2015 I''m currently undergoing single delayed breast reconstruction.
 Asked: 2/24/2015 In 2005 I had a lumpectomy on my right breast and 2006 I had a mastectomy on my left breast after my lumpectomy a...
 Asked: 2/14/2015 I had a lumpectomy, followed by radiation, over 6 years ago.
 Asked: 2/1/2015 Follow-up to my question of 12/16, and your same day answer (thank you!): I am almost 3 weeks post-op after lumpectomy at Johns Hopkins, L...
 Asked: 1/31/2015 I am a breast cancer patient, Dr.
 Asked: 1/1/2015 I had total left mastectomy in 2007 and I was wondering is it safe to do reconstruction?
 Asked: 12/28/2014 I met Lillie at the Navigator conference in Charlotte this past year .
 Asked: 12/27/2014 I had a double mastectomy in 2012....I''m having delayed 2 step implant Breast reconstruction in 2 weeks.
 Asked: 12/21/2014 I am a 44 yr old female who just had a mastectomy on my right breast on 12/8/14.
 Asked: 12/16/2014 I met with my surgeon and radiation team at JHU Breast Center yesterday, so planning lumpectomy of small (looks like 1 cm on mammograms) DCIS...
 Asked: 11/17/2014 I keep hearing that it is ok to have radiation done over tissue expanders.
 Asked: 11/7/2014 Help! I have a stage 2A breast cancer and am BRCA 2+.
 Asked: 11/4/2014 Hi, I had a lumpectomy 4 years ago with 8 courses of chemo and 35 radiation therapies.
 Asked: 11/1/2014 I had a double mastectomy 9 years ago and a lumpectomy, radiation and chemo on the right breast 20 years ago.
 Asked: 10/27/2014 I had breast reconstruction in 2012 with a latissimus dorsi flap and implant.
 Asked: 10/9/2014 It has come to my attention that a Dr.
 Asked: 10/2/2014 I had left breast ca (E+, HER2+).
 Asked: 9/4/2014 I had a single mastectomy at a breast center that didn''t offer staged reconstruction.
 Asked: 9/1/2014 Hi! Thank you for taking your time to anwwer my doubts.
 Asked: 8/29/2014 I had a bilateral masectomy April 7 th 2014 and I am schedule for tissue expander to start the reconstruction process on sept 24-2024.
 Asked: 8/16/2014 I am over two years out from a lumpectomy, breast reduction and whole breast radiation.

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