Ask the Community. I felt it would be like choosing to keep a ticking time bomb. The most common method of breast reconstruction currently performed in the US uses tissue expanders and breast implants, usually with an ADM (acellular dermal matrix) such as Alloderm. I went through 4 treatments of chemo following a bilateral mastectomy with expanders put in. Used in breast reconstruction, MENTOR ® CPX ® 4 Breast Tissue Expander, available in smooth or SILTEX ® Shell Surface, is designed to expand primarily in the lower pole of the breast, so the resulting pocket will accommodate the implant and slope like a natural looking breast. I had a b/l mast July 10 for right side ca. expanders after mastectomy for breast cancer Michael Friedrich* and Stefan Krämer Department of Obstetrics and Gynaecology with Breast Cancer Center, HELIOS-Hospital, Lutherplatz 40, 47805 Krefeld, Germany Abstract Tissue expanders are regarded as a simple method for immediate breast reconstruction following mastectomy. This study aimed to investigate the impact of decreased SMM on complications after tissue expander surgery. 16, 17 In the 1990s Francel et al reported a 7.4% to 14% minor complication (infection, skin necrosis, seroma, hematoma) rate using smooth tissue expanders, significantly higher than the … General Information | Self-Checker | Donate and Lend Support | Staff Appreciation | Get Email Alerts. My left side has healed well, beside all the fluid built up. Breast reconstruction with implants and tissue expanders is a great option for women left with little to no breast tissue following breast cancer surgery. However, they are vulnerable to rupture if handled roughly or inappropriately. Breast Cancer Advocacy Sheet; Breast Cancer Guide. The nipple and the dark skin surrounding it, called the areola, are reconstructed in a subsequent procedure. expanders What are Tissue Expanders like? Allergan is recalling BIOCELL textured breast implants and tissue expanders due to the potential risk for breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). It stretches the skin to make room for the final implant. I had a b/l mast July 10 for right side ca. California Consumer Privacy Act (CCPA) Policy, Breast Cancer Awareness- 9 Shocking Things to Know, 15 Best Places to Eat in Destin with Kids, What to Do in Chattanooga, Tennessee (Outdoor Edition), Disney Cruise Packing List and Hacks (with Printable PDF), Disney Cruise Dining Rotation- How It Works, Full Details on Disney Cruise Debarkation Day, Western Caribbean Disney Cruise Review with a Toddler, Merrytime Review of a Disney Cruise on the Magic, September 2018: Double mastectomy/insert tissue expanders, Octobober-April: Inflate the tissue expanders little by little each week while going through chemo, May: Remove half of the saline from each tissue expander for, July: Re-fill the tissue expanders after completing radiation, May 2020: Exchange surgery where tissue expanders are replaced with actual implants, Somewhere down the road: tattoo 3D nipples. There is some discomfort with the expansion process because it is stretching the chest muscle, but most women find it is not very uncomfortable. Related Checklists. 341 online. ASK. A few months later, the expander is removed and the patient receives either microvascular flap reconstruction, or the insertion of a permanent breast implant. The chest tissue is usually ready for the implant 2 to 6 months after mastectomy. 3, is a malignant neoplasm with the highest incidence among women, representing 20% of all tumors and accounting for 15% of the tumor-related deaths in women. A surgeon will place tissue expanders in a patient’s breasts prior to implants or microvascular flap reconstruction. A breast tissue expander is an inflatable breast implant designed to stretch the skin and muscle to make room for a future, more permanent implant. Breast Cancer Advocacy Sheet; Breast Cancer Guide. The rate of mastectomy for breast cancer has remained unchanged at approximately 35%, despite advances in breast conservation therapy .In 2012, over 91,000 breast reconstructions were performed by surgeons affiliated with the American Society of Plastic Surgeons, of which 70% were tissue expander (TE)-implant reconstructions and 21% were autologous tissue … Obese patients with breast cancer and sarcopenia have a hidden lower SMM with a larger body mass index (BMI). Contact Made in Germany. This temporary expander is initially smaller than the permanent implant. Outside of Maryland (toll free)410-464-6713Request an AppointmentMedical Concierge Services, International Patients+1-410-502-7683Request an AppointmentMedical Concierge Services. Breast Cancer Now Forum. Breast Reconstruction Expander Implant. The purpose of a tissue expander is to stretch your skin to prepare it for an actual breast implant. I'll show you what the expanders look and feel like. The chest tissue is usually ready for the implant 2 to 6 months after mastectomy. (6) Brice McKane, M.D. Tagged with: bilateral mastectomy, BRCA, brca 2, breast cancer, breast expanders, breast reconstruction, implant surgery, mastectomy, nipple sparing, tissue expanders Posted in Surgery, Treatment. Early rehabilitation after total mastectomy and immediate reconstruction with tissue expander insertion in breast cancer patients: A retrospective case-control study. Health Newsletter . This process will usually begin three to four weeks after your mastectomy, once your drains are removed, and will continue until the size is slightly larger than your other breast. For example, the expander can be filled during chemotherapy. I have been going to the wonderful Osteopathic clinic at St Barnabas to help my body each step of my cancer treatments. After the breast surgeon removes the breast tissue (called a mastectomy), the breast surgeon or plastic surgeon performing the reconstruction will often put a tissue expander underneath the pectoral muscle. This poor body that has been attacked and mutilated. Empowered. Contact Made in Germany expanders after mastectomy for breast cancer Michael Friedrich* and Stefan Krämer Department of Obstetrics and Gynaecology with Breast Cancer Center, HELIOS-Hospital, Lutherplatz 40, 47805 Krefeld, Germany Abstract Tissue expanders are regarded as a simple method for immediate breast reconstruction following mastectomy. First time user, please bear with me. I have a temporary breast expander after double mastectomy September 9, but mine is not under chest muscles, which is supposed to be less painful than all your muscles having to stretch to accommodate the expander as well. The expander can be placed above or below the chest muscle and can be filled with either saline or carbon dioxide (depending on the type of expander used). Receive the latest and greatest in women's health and wellness … Read Johns Hopkins Cancer Survivorship Blog, Learn About our One-Day Multidisciplinary Clinic, Read Breast Cancer Treatment and Research News in, Follow the Johns Hopkins Breast Center on Facebook, Learn more about breast cancer research and treatment. Request an appointment with the Breast Center at Johns Hopkins. A tissue expander is an implant that’s more like a balloon. These expanders are so uncomfortable. Taking Certain Supplements Before and During Chemotherapy for Breast Cancer May Be Risky. We are providing in-person care and telemedicine appointments. I wanted to see if anyone has had any complications from the expanders. I'm scheduled to have a double mastectomy, both ovaries and all lymph nodes the first week of February (after I finish all my chemo). (12) Reconstructive (21) Expander/Implants (4) DIEP Flaps (16) Surgery on Other Breast (1) Search 4 Pictures . This animation illustrates the process. A small study suggests that people who took antioxidant supplements before and during... Tamoxifen (Brand Names: Nolvadex, Soltamox) view more Credit: Henry Ford Health System Expander/Implants. Whether you're crossing the country or the globe, we make it easy to access world-class care at Johns Hopkins. © The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System. Researching breast reconstruction online can be tough, and finding info. I saw my onc. In this nonrandomized, retrospective cohort study, 157 patients underwent 169 expander indwelling surgeries. Notice of Privacy Practices(Patients & Health Plan Members). Without removing the other breast I would be wondering more and more each year if breast cancer would attack me again. Diagnosed with breast cancer October 1, 2013, and just coming out of the shock of it all. Your tissue expander should match the shape of the permanent breast implant that you are going to use. Health Newsletter . A tissue expander is a temporary implant that is placed as a spacer in your chest area after your breast tissue is removed during a mastectomy. CSN Home › Discussion boards › Cancer specific › Breast Cancer. The most common method of breast reconstruction performed uses tissue expanders and breast implants. A. Expander/Implants; PHOTO GALLERIES. A. Or people that have not had problems with expanders. Locally advanced breast cancer patients with expander or implant reconstructions who require comprehensive postmastectomy radiotherapy (PMRT) can pose unique treatment planning challenges. You may feel a sensation of stretching and pressure in the breast area during this procedure, but most women find it is not too uncomfortable. If a large amount of skin is removed during mastectomy or you're having the staged approach to implant reconstruction (delayed-immediate reconstruction), your plastic surgeon places a tissue expander between the skin and chest muscle after your breast surgeon has removed the breast tissue. I'm scheduled to have a double mastectomy, both ovaries and all lymph nodes the first week of February (after I finish all my chemo). on tissue expanders can be even more difficult. I want to live a long life free of fear and these decisions are my first steps in that direction. Here's a little about what to expect after going though a mastectomy and reconstruction. last Thursday and my case was discussed at the hospitals breast cancer conference, they decided it would be ok for my ex panders to be put in before radiation. Through a tiny valve mechanism located inside the expander, the nurse practitioner will periodically inject a salt-water solution to gradually fill the expander over several weeks or months. Have a question? Sharing my story, experience, and life happily ever after cancer. Empowered. Galleries by Surgeon. This is an abbreviation for BReast CAncer gene.BRCA1 and BRCA2 are two genes that have been found to impact the chances of developing breast cancer, but they don’t cause cancer. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. First time user, please bear with me. Background: Use of silicone expanders and implants is the most common breast reconstruction technique after mastectomy. Then an implant or tissue from another part of the body will replace it. A breast tissue expander is an inflatable breast implant designed to stretch the skin and muscle to make room for a future, more permanent implant. The most common method of breast reconstruction currently performed in the US uses tissue expanders and breast implants, usually with an ADM (acellular dermal matrix) such as Alloderm. Hospitalization is usually overnight, and recovery takes four weeks. A tissue expander is an implant that’s more like a balloon. Expanders with an external port may remain in place after the port has been sealed and removed. I have a temporary breast expander after double mastectomy September 9, but mine is not under chest muscles, which is supposed to be less painful than all your muscles having to stretch to accommodate the expander as well. Insertion in breast reconstruction surgery using a tissue expander should match the shape of the breast and. With implants: Sep 2012 Sep 03, 2012 - 8:56 pm learn about our expanded patient options... 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