Ask an Expert is a free question-and-answer service about breast cancer and breast health that is available on weekends. If you'd like to ask a question or comment, please visit us again on Saturday or Sunday. In the meantime, please search the existing topics using the search tool at the top of the page. It's quite possible that one of our many existing topics already addresses your question.
If you would like a consultation with a breast specialist at the Johns Hopkins Avon Foundation Breast Center, call 443-778-2778. It is possible to get an appointment for a second opinion within a few days of contacting us.
We hope you find the information helpful!
|Forum||Questions||Ask a Question|
|Mastectomy with Tissue Expander
Questions about Mastectomy with Tissue Expander.
|Asked||Publicly Submitted Question|
|1/8/2012||I had a bilateral masectomy on June 23 with expanders. On Nov. 15 I woke up soaking wet. It was not my expander but seroma that broke through a part of my surgical site. That Thurs. my doctor replaced my expander. I had a drain in place for app. 2 weeks. He did not remove the stitches until Dec. 23 , when he did one was pretty deep a nd it started leaking some fluid. He put me on antibiotics. On Christmas night I started to leak fluid from my surgical site at a much larger rate.It stopped in a couple of days then started up again. On Fri. Jan. 6 th he expanded me by 60 cc again and my surgical site has not stopped leaking. I have lost a lot of time from work and have a very physically demanding job. What can I do to get this area healed befor I end up with a serious infection on top of everything else. Also the history of this breast is that I had a lumpectomy app. 5 yrs. before this in which I also developed a case of seroma. I had chemo ( which I opted out of this time.) and I had radiation to the site at this time. I know the radiation has made the tissue harder to heal but I feel as though something shoul be done to stop the fluid from leaking through the surgical site before I develope a serious infection. Thank-You|
|Replied||JHU's Breast Center Reply|
|1/8/2012||wow. what an ordeal you have been through for 7 months and continue to go through. Without being the treating physician it is hard to guess what to do. However it seems as if your body is saying that it doesn't like this expander and therefore also might not like a permanent implant either. Yur body is shouting out to you via the production of this continuous drainage. it is very fortunate and surprising that you haven't gotten an infection yet. Consider requesting to meet with a plastic surgeon at the facility who specializes in DIEP flap. (I'm hoping they have one there. NOT doing TRAM flap but DIEP flap and if you don't have tummy fat then S-GAP. such a procedure may be the direction to now go.)|
Please note: This service is not intended to provide primary medical advice concerning specific medical care or treatment. Ask an Expert is a free service operated by health care professionals at the Johns Hopkins Avon Foundation Breast Center. Due to the volume of questions and their complexity, there are times when medical oncologists, surgeons, radiation oncologists or oncology nurses are consulted for their input. These individuals volunteer their time for this service and will respond as soon as they are able. Please do not post or send the same question to us in multiple locations or categories.