Breast Reconstruction after mastectomy: The TOP FIVE questions I get asked as a PLASTIC SURGEON
ฝัง
- เผยแพร่เมื่อ 14 ต.ค. 2023
- If you have been diagnosed with breast cancer and thinking about breast reconstruction, Dr Wai-Yee Li, board certified plastic surgeon, @DrWaiYeeLiPlasticSurgeon, share with you the top 5 questions she gets asked by her patients. Did you know that after mastectomy or lumpectomy, you could benefit from breast reconstruction by a plastic surgeon?
In this video, Dr Li will cover the following crucial questions:
1. Is breast reconstruction covered by medical insurance?
2. Is breast reconstruction mandatory?
3. Who benefits the most from breast reconstruction?
4. Who should not get breast reconstruction?
5. What happens if you do not get breast reconstruction?
Dr Li will also explain the benefits of breast reconstruction. She will introduce the viewers to oncoplastic reconstruction (rearranging the remaining breast tissue after breast conservation) and esthetic flat closure.
surgicalseecrets.com/blogs/ar... - to learn about about drains after surgery
#medicalinsurance, #breastreconstruction, #mastectomy, #lumpectomy, #oncoplastic reconstruction, #esthetic flat closure
Music: ADVENTURE
Music by: www.bensound.com
License code: 9V9VQ68SIQLOJSXP
Dr Li is my surgeon. I had a double mastectomy with implants. I am delighted with my results. Dr Li is an amazing surgeon and extremely caring individual. Thank you Dr. Li. Micki
It is a privilege (and joy!) to take care of you and I am happy that you are happy with your reconstruction☺ My goal is to empower women through education.
Dr Li is my surgeon. I came to her after having a double mastectomy. I had a lot of scaring and damage. Dr Li did a procedure called latissimus dorsi. Instead of taking the skin from my stomach she took it from my back. This surgery was so much less invasive. Recovery was also faster. I couldn’t be happier with my outcome. I highly recommend her.
🥰
Dr. Li has been been my plastic surgeon and I am one of the lucky ones I have seen friends and family that had a horrible experience. Please lesson to her . She is truly a honest and great doctor.
Thanks for answering questions and it's a pleasure to meet you. ❤
Any time!
Wow! Very informative! Thank you
Glad it was helpful!
I had a double mastectomy with breast reconstruction, I have had have them exchanged a couple of times and my breast that had the cancer still looks deformed. It’s been 5 years since my original cancer diagnosis. I’m to the point now that I definitely will get them removed. For me the implants serve no purpose
Often times patients do decide they no longer want implants after living with them. It’s important when you meet with your surgeon to discuss how you want to look after they are removed. I will be posting a video soon about going flat. You may choose to keep some tissue afterwards, but it’s good to plan upfront so you know what to expect.
Is a decent flat closure possible in patients with Ehlers-Danlos syndrome?
That is rare but interesting situation. I believe it is probably more advisable to have a plastic surgeon to perform the flat closure. The challenge with this condition will be how stretchy the skin and underlying tissue layer is and the need to avoid overstretching during closure. If too much skin is removed and the closure is too tight could potentially have issues with arm movement. I have not had the experience of doing this procedure on a patient with this condition.
I had a nipple sparing double mastectomy, so I’m trying to figure out the best approach for me, my right breast is grossly deformed. I even tried fat graphing.
Nipple sparing mastectomy can give excellent results. However, depending on pre-surgery factors, such as degree of ptosis (how droopy), cup size, BMI, pre vs sub pectoral implant placement, post mastectomy radiation, the nipple may end up in the wrong position or contracted down. In some ways, this can lead to a worse result and one option is to have the nipple removed, and consider options for replacement such as nipple reconstruction or 3D nipple areolar complex tattoo. Autologous fat grafting has its limitations. These are all critical things to discuss with your plastic surgeon.
@@DrWaiYeeLiPlasticSurgeon I had post mastectomy radiation soon after the implants which I believe was the problem. The radiated side (my right) also lost the right nipple due to an infection. I have discomfort around the implants all the time and pain when stretching or bending almost like the implant is folding. I want to make sure I’m asking the correct questions regarding going flat. I mentioned going flat to my plastic surgeon before and she kind of dismissed it saying I’m too young for that, which is why she decided to try fat graph.
@@Lynlyne82 sounds like you have radiation induced capsular contraction. This typically feels tight and sometimes painful. Usually worse if implants placed under the muscle. It will not usually improve without intervention. You have options to have scar tissue removed (capsulectomy), implant removal and go flat or autologous breast reconstruction (Latissimus vs abdominal or other free flap). I will be posting a 'going flat video' soon but sometimes you can have healing issues due to the radiation you've had. You should seek a 2nd opinion. I personally do not usually use age as a sole criteria for decisions regarding going flat. It's a personal decision.
@@DrWaiYeeLiPlasticSurgeon Thank you, waiting for your video.
I have several videos to film/post first. But it will be done. Next video is on 'Going flat after mastectomy"...by popular demand... But latissimus flap is my passion!! ..so stay tuned@@Lynlyne82