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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should A Reconstruction After Skin Sparing Mastectomy Be Done?

I am having reconstruction after skin sparing mastectomy. It doesn t appear as though much skin was saved. I want the largest implants available since i m a larger woman and was a size G. My doctor wants to fill my expanders to 740 then wait 2 months for the exchange. Everything I ve read says to over expand by 10% not under expand. I m concerned he will not have enough skin left to move the incision he created about three inches above my breast fold, into the fold, and I will have a scar above the fold.
Sat, 24 Aug 2019
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General Surgeon 's  Response
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* There are release fold or zap techniques of undermining the
subcutaneous fat and getting extra amount of skin for reconstructive
purpose in the cosmetics very precisely.

* So do not worry about the same and discuss about this in details with
your cosmetic specialist during your next visit.

Wish you best recovery and health.

Thanks.
Dr Bhagyesh
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How Should A Reconstruction After Skin Sparing Mastectomy Be Done?

Hello and welcome to Ask A Doctor services. I have read your query and here is my advise. * There are release fold or zap techniques of undermining the subcutaneous fat and getting extra amount of skin for reconstructive purpose in the cosmetics very precisely. * So do not worry about the same and discuss about this in details with your cosmetic specialist during your next visit. Wish you best recovery and health. Thanks. Dr Bhagyesh