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Cosmetic Surgery (Expert Forum)
gail
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.
gail
by oldrn2, Dec 30, 2007 11:56AM
4 years ago I had a lumpectomy. The margins were not clean so a second surgery was done. The breast was much smaller than my left breast and the scaring is ugly. I went to a plastic surgeon who did a reduction on the left breast but it is still the same size because it still fits a D cup bra as comfortably as it did before the surgery. He would not touch the right breast or try to do a scar revision because of having had radiation. Is it possible to have a scar revision now and can my left breast be further reduced? Should this 2nd procedure still be covered by insurance (medicare) since the original problem was due to breast cancer?
Doctor's Answer
by Howard Rosenberg, MD, Jan 01, 2008 06:16PM
, Jan 01, 2008 06:16PM
It is certainly possible to further reduce the left breast, and at the same time revise the right breast scar. Your physician's caution in operating on your right irradiated breast is understandable. Irradiated tissue has been permanently and irrevocably altered by affecting the small blood vessels. This can result in poor healing, a notorious problem in irradiated tissue. You should discuss this with your physician before undergoing additional surgery. It is likely that Medicare will cover this surgery.
