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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.

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AskedPublicly Submitted Question
8/22/2017Hi! Thank you so much for this forum, and many thanks in advance for your guidance. I had prophylactic mastectomy in January with reconstruction. Prior to the procedure a plastic surgeon was selected for me by the general surgeon herself. I did my own research about reconstruction options and was able to ask specific questions about the implants versus flap, as well as downtime from either procedure. I was told that the recovery from implant reconstruction is faster, so I went that route, but was never informed about potential complications. Yet I already had to undergo 2 revisions that did not address the concerns of creases near the left underarm area, the rippling of the implants, and the dents in the chest area, so I am waiting for the 3rd revision to be scheduled. I am not sure if this is normal and do not know where to turn for help and support. My insurance company is holding me hostage in this situation, not authorizing visits for second opinion outside of the network.
I don't want to seem impatient but is it normal for patients to be needing 3 revisions after an implant reconstruction? Do you happen to have a program for patients to get a visit for a second opinion with your experts? Thank you in advance for any guidance you may have.
RepliedJHU's Breast Center Reply
8/24/2017Revisions to implant based reconstruction can be common due to the issues you mentioned such as rippling, irregularities, or dents. Our plastic surgery team would be happy to see you, you can contact scheduling at 443-997-9466.

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.

The contents of this portion of the website cannot be used as a substitute for a consultation with your doctor or other healthcare provider. It also may not represent the opinions of other Johns Hopkins professionals. It is a free service performed on volunteer time and intended to provide feedback to questions posted by consumers however should not be used as a directive or instructions to now follow. Seeing your own medical provider is always important in getting your needs and questions addressed. In the majority of cases, a clinical examination, review of pathology slides and xrays, along with other medical information is needed to truly provide a consultative service. If you wish to receive a formal consultation with our physicians please call 443-997-8282 for surgical appointments and 410-955-8964 for medical or radiation oncology appts. For breast imaging, call 410-955-4100.

 
 
 
 
 

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