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Cosmetic Surgery (Expert Forum)
when all fails
Answered by
Howard Rosenberg, MD - Cosmetic Surgery
Accent on Aesthetics Plastic Surgery Medical Center
Questions in the Cosmetic Surgery forum are answered by Dr. Howard Rosenberg. Topics include bariatric surgery reconstruction, breast augmentation, chemical peels, cosmetic or reconstructive surgery, face lift, nose reconstruction, and tummy tucks.
when all fails
by faye827, Oct 23, 2009 04:50PM
I had a TRAM flap that had to be removed due to negligence by the hospital. 3 weeks ago I had a breast implant put in 500 cc after a tissue expander. The implant is 4 inches smaller than my other breast and my ps says the only thing that can be done now is a latissimus flap. Can you tell me if you know of other options?
Doctor's Answer
by Howard Rosenberg, MD, Oct 26, 2009 05:59PM
, Oct 26, 2009 05:59PM
Your history of breast reconstruction is obviously quite complicated with loss of the TRAM flap. You did not mention if this was a pedicled TRAM or a free microvascular TRAM. Other alternatives to reconstruction might include a free microvascular flap from you buttocks or other area. Latissimus flaps can also be quite successful. Obviously, your plastic surgeon, who knows the full details of your reconstruction jsitroy and the condition of your chest wall, is in the best position to advise you.
Member Comments (2)
by faye827, Oct 27, 2009 05:23PM
To: Howard Rosenberg, MD
It was a pedicled TRAM. I really don't want to try a free microvascular TRAM. It was devastating enough to go through the first one, and I would be afraid to try again. The latissimus flap is iffy for me too.
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