rupture

Q: Blisters under my steri strips! 2 peanut M&M size ones; what should I do?

Submitted by Q-A from clee on Mon, 09/05/2016 - 19:35

Had BA 4 days post. Placed through the nipple. Steri stops all around the nipple area and 2 big ones have formed. Called my doc and he said if they rupture just clean with water and keep area dry. But they seem to be growing. What should I do?

A: Many acceptable methods of managing blisters

Blisters near incisions following surgery may from tension, reaction to adhesives, and swelling. There are many acceptable methods of managing the superficial wounds. I would recommend you follow your surgeon's advice as he/she is most familiar with your particular situation.

Q: Explant of Ruptured Sub-muscular Cohesive Gel Implant: is En Bloc Necessary?

Submitted by Q-A from clee on Sat, 05/14/2011 - 09:27

Hi- I recently discovered, and confirmed through MRI, an intracapsular rupture of my sub-muscular 410 cohesive gel implants. They are about four years old. My surgeon is recommending en bloc removal, however this also seems to be this doctor's standard operating procedure.

Is en bloc necessary with cohesives, and are the potential health risks significant either way? I would be extremely grateful for professional input.

A: Would favor removal

I favor removal with complete capsulectomy if possible. En Bloc sounds very severe but is not really more than a complete capsulectomy since this is still an intracapsular rupture. En bloc is much more substantial procedure for extracapsular rupture into the breast parenchyma.

While it remains an intracapsular rupture, risks of any problems are minimal. The problem is that we do not know when it may progress to an extracapsular disruption. For this reason, I favor removal while it is a relatively simple and easy procedure.

Q: Breast Explantation Due to Intracapsular Rupture with Fluid Build

Submitted by Q-A from clee on Sat, 05/14/2011 - 09:07

fluid build up in my right breast, ultrasound showed there is a thick film of capsular around my implant. Look swollen but no pain. I went to 2 surgeons, one said to remove implant without removing any capsules nor stitch up the implant pocket. While the other one will remove all capsules, stitch up pocket.

My implants are under the skin and they're saline. I have them for 7 yrs. Which one should i go with? Will the fluid goes away so i can leave them in since I have no pain? Please advise.Thx

A: Not really understanding some points...your clarification necessary

You mentioned that you have saline implants for 7 years, yet they are ruptured with fluid and swelling. Saline ruptures lead to deflation and their treatment is by replacement usually with assistance of the manufacturer provided the parameter of the warranty are followed.

Silicone is a different matter. 7 years ago there was a moratorium on their placement. Ruptures silicones should probably be removed.

If you are having exchange of implant, then either a pocket exchange or capsulectomy would be wise since the capsules are thick according to your imaging studies.

Q: Reconstruction After Breast Cancer: Will Medicare Pay to Replace Ruptured Implants?

Submitted by Q-A from clee on Sat, 05/14/2011 - 08:46

I had breast cancer 23 years ago with reconstruction. My implants have been replaced once, 12 years ago, and these are now leaking. Will Medicare pay for replacement? I was not on Medicare when they were replaced 12 yrs. ago. I have no photos but had a breast MRI which showed the leakage.

A: Yes, by law insurance companies must cover

Medicare and private insurance cover must by law cover treatment for the reconstruction of a breast cancer patient. This includes the opposite normal breast to obtain symmetry.