• post trans flap procedure complication

    Asked by lizib4u on Wednesday, August 1, 2012

    post trans flap procedure complication

    I had a Trans flap done in January 2012. The surgery went well, but I developed infected fat necrosis and had to have the procedure done over. I had several more complications, but they were all fixed. The last surgery I had, the surgeon removed more of the lumps from neurosis and lifted the reconstructed side. It was finally looking good, but I noticed the past few weeks that I am getting a concaving appearance on the chest area near the transplant. It looks like my bones are coming through the skin in one spot. Is that normal? I am not sure if that is just the breast settling and it is pulling he skin, or is this a complication that needs to be repaired? I have an appointment with the surgeon in December, but not sure if this should be looked at sooner. I would appreciate any comments from anyone who has had this procedure and if this concaving of the chest is normal.

    6 Answers from the Community

    6 answers
    • MarnieC's Avatar

      If you think about it, your surgeon works for you, just like an accountant or mechanic does. If you aren't happy, you should definitely let your surgeon know that. Meet with your surgeon and tell him/her your concerns. And if you don't get answers you are satisfied with, change surgeons! I'm sorry you're having so much trouble - sending hugs.

      about 4 years ago
    • lizzib4u's Avatar

      I do agree, but I am in a situation I can't go to another plastic surgeon because it would be considered a new visit and the insurance won't cover it. I wasn't sure if this was normal or not. I am going to call his office. Thanks so much for the response.

      about 4 years ago
    • nancyjac's Avatar

      If I were you, I would consider getting a different surgeon or at least a second opinion. Necrosis is the result of not have an adequate blood supply to the transferred flap. Having to have the surgery redone and fixed several times is not normal. That you now have yet another issue and no followup with the surgeon until December seems like an ideal time for a second opinion with a different plastic surgeon.

      about 4 years ago
    • nancyjac's Avatar

      As far as your insurance goes, I would follow up on that. If your PCP, oncologist, or current plastic surgeon, refers you to a different plastic surgeon for a second opinion, that is a consult, not a "new visit". If your oncologist's office has an insurance expert (most of them do) you might want to discuss this with him/her and see what they can do to help. Must large insurance companies have case works or patient advocates that can help. I can assure you that your insurance company would rather pay a different surgeon to do it right the first time rather than paying the original one to do it over and over again.

      about 4 years ago
    • Carol-Charlie's Avatar

      A dear friend of mine developed an infection and they delayed any work on reconstruction for months and months.... When the surgeon completed the procedure she looks just perfect... I find that when I want something... I want it now... It's like asking God for patience and demanding it now.... Doesn't work that way. My niece said that the reconstructed bresta sit deeper in her chest wall, as they had removed the underlying muscles, etc. She's 45 and told me she probably wouldn't do the reconstruction again, if doing it over... But we both agree... Thank God we're alive and the cancer was thrown in the trash. I do think you could call your surgeon;s office and ask them the question you've posted here. They'll be glad to help you ease your mind, or bring you in sooner.

      about 4 years ago
    • LisaD@StF's Avatar

      This should be addressed by your plastic surgeon and sooner than later. Always best to call for any new symptom or change so that your surgeon can get you in sooner an visually check the area and address any problem that may exist or relieve your concerns that something may be wrong. I encourage to always contact any of your MD's for any new concerns.

      about 4 years ago

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