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Implants behind muscle?

Page last modified on: September 30, 2008
Question from Penelope Pit Stop: I had a lumpectomy 2 years ago, and prior to that was considering breast implants because I am very small-chested. Could you give me your thoughts on gel implants placed behind the muscle at this stage?
Answer —Carolyn Chang, M.D.: If you had a lumpectomy, you probably had radiation. Once again, in the field of radiation, implants become very unreliable because of the high rate of capsular contracture or scar tissue formation on the side of the radiation. You can put implants in to augment the breast, but you do take a chance that it might not work, in which case the implants have to come out. I would definitely discuss the particulars of your case with a qualified plastic surgeon.

On Wednesday, April 20, 2005, our Ask-the-Expert Online Conference was called Reconstruction and Safe, Sexy Cosmetics. Carolyn C. Chang, M.D., Anna-Dee Rinehart, S.C.S., and moderator Lillie Shockney, R.N., B.S., M.A.S. answered your questions about reconstructive surgery and safe, sexy cosmetics.

The materials presented in these conferences do not necessarily reflect the views of breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.

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Meet the Experts

Carolyn C. Chang, M.D. is a board-certified plastic surgeon specializing in breast reconstruction after mastectomy, TRAM flap reconstruction, and implant reconstruction.

Anna-Dee Rinehart S.C.S. is a nurse-aesthetician, aesthetic instructor, and director of education for Austin Medical Aesthetics in Austin, Texas.

Lillie Shockney, RN., BS., M.A.S.Lillie Shockney, R.N., B.S., M.A.S. is the administrative director of the Johns Hopkins Avon Foundation Breast Center.

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