Breast reconstruction necrosis

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Fat necrosis is a benign (not cancer) condition and does not increase your risk of developing breast cancer. It can occur anywhere in the breast and can affect women of any age. Men can also get fat necrosis, but this is very rare.

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I had skin sparing bilat mast, breast recon with TEs. 1 week later had reaction to surgical tape. PS said remove tape. I did so and discovered tissue necrosis along vertical incisions on both breasts and large black area at bottom of right breast.

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Being I chose to have breast reconstruction, radiation was never an option for me. Also, my oncotype test score was low so chemo was not recommended for me. My only treatment is the Anastrozole. The necrosis is a good size and my breast aren't big. I can feel it there even when I'm not actually touching it, just moving my body.


For early breast cancer patients, skin-sparing mastectomy or nipple-sparing mastectomy with sentinel lymph node biopsy has become the mainstream treatment for immediate breast reconstruction in possible cases. However, a few cases of skin necrosis caused by methylene blue dye (MBD) used for sentinel. Fat necrosis is most common after breast surgery or radiation, so having breast cancer will raise your risk of fat necrosis. Breast reconstruction after cancer surgery may also increase your risk.
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However, there are some risks that are unique to DIEP flap reconstruction. Tissue breakdown: In rare instances, the tissue moved from your belly to your breast area won't get enough circulation and some of the tissue might die. Doctors call this tissue breakdown “necrosis.”.

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A small amount of fat necrosis may go away on its own and larger amounts may persist indefinitely making the breast feel hard. Following a DIEP or other muscle sparing breast reconstruction some of the fat transferred to the breast may not receive enough blood supply to survive the healing process. " Currently had nipple reconstruction, right side is beautiful, Left has some necrosis and sighs of failure. May end up with a re do on that nipple (the radiated side is a greater risk for complications).

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Autologous breast reconstruction with perforator flaps comes with the risk of fat necrosis. African American patients had an increased risk of fat necrosis. Free DIEP flaps for breast reconstruction with increasing weight are at a significantly increased risk of fat necrosis, with odds increasing by for every g increase in flap weight. Fat necrosis is an area of firm tissue that can form in the reconstructed breast as a result of inadequate blood supply. Although typically not visible, fat necrosis can present like a lump, and may be painful.

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If you had flap reconstruction and you feel a lump or hardness, this is usually a case of benign fat necrosis — the result of fat cells dying after the reconstruction procedure. These cells calcify and form lumps soon after the surgery, and, unlike cancer, they usually stay the same size or get smaller over time. Women who have surgery as part of their breast cancer treatment may choose breast reconstruction surgery to rebuild the shape and look of the breast. There are different types of breast reconstruction. Learn about all your options and what to expect before and after your surgery.
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Mar 31, · I actually said to my PS that I thought it was fat necrosis and he felt it and didn't correct me. He told me to massage the areas. He said the areas "weren't that big" but I beg to differ. On my left breast I would say it is a " x 3" area and on my right (which is . In autologous tissue reconstruction, a piece of tissue containing skin, fat, blood vessels, and sometimes muscle is taken from elsewhere in a woman’s body and used to rebuild the breast. This piece of tissue is called a flap. Different sites in the body can provide flaps for breast reconstruction. Flaps used for breast reconstruction most often come from the abdomen or back.

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