reconstruction for thin women

If I were to have a mastectomy, since I weigh only 115 lbs, how would it be done?  I think I'm too thin for the stomach muscle type (tramflap).  There's not much available on my derriere either.  Do surgeons ever maintain your breast skin, removing the tissue underneath and then put in the implant?  I would think this could be done as an ina dn out procedure and look okay.  Has anyone had this doen?

[PaulMD]

Hi there.

I agree that flap reconstruction is not the best way to go for you.  The best option for you I believe would be a skin and nipple sparing surgery (where they take out the breast tissues and leave the skin and nipple behind).  After that, a tissue expander can be placed and later on can be injected with implants.

This is a common procedure now commonly done and I believe reconstructive surgeons are apt for the job.

Regards.

[outnumbered]

I have no answers, however I just wanted to thank you for posing this question.  I am about 110 and I just assumed there were no isses here, just expanders and implants.  Now based on your question and Dr Paul's (thanks Dr) response, I know that if it gets to this point, I will ask about skin and nipple sparing mastectomy.  

Thanks Again and best wishes to you.

[PaulMD]

No problem, regards.