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About Terri I am a patient educator and advocate for choices in breast reconstruction after a mastectomy.

Free flap reconstruction is a longer, highly technical operation compared with pedicled flap reconstruction that requires a surgeon who has experience with microsurgery to re-attach blood vessels Possible complications• In the first stage, the surgeon places a device, called a tissue expander, under the skin that is left after the mastectomy or under the chest muscle ,.

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Patients who chose this strategy have fewer follow-ups and little to no problems with their breast even after years of getting it.

Step 1: A temporary, modified saline device called a tissue expander is inserted in the envelope formed by the breast skin and chest muscle.

If you had reconstruction, your breast s may be smaller, larger or a different shape than the old one s.

They can also be rebuilt using tissue that is, tissue from elsewhere in the body.

Surgical drains For some types of surgery, you may still have a small tube s called a surgical drain s in place when you go home from the hospital.

Also, WHCRA does not apply to Medicare and Medicaid.