Posted by lisa on September 26, 2009, 5:01 pm
64.12.116.197
Dr. D,
I am very high risk and strongly contemplating a prophylactic nipple sparing/diep. Are you performing any single staged nipple sparing diep procedures? I had a complicated peri-areolar biopsy done 3 yrs ago and very concerned about NAC viability for any type of PBM procedure.
What has been your experiences with this? Have you had successful outcomes with women who had prior biopsy complications? Three different consults by nipple sparing breast surgeons and one micro vascular ps have all concluded nipple sparing would be an option for myself, despite these complications of delayed healing with decreased blood flow to the area over a lengthy period of time. At what point would you know if the nipple is not viable, during the actual reconstruction phase or after surgery itself? If my biopsy incision is located at 1/3 of the top peri-areolar area, where would the recommended site for the mastectomy incision be located? I have no long term effects other than scaring and [obvious] fears that nipple sparing won't work.
Thanks for this tremendous site and any help you can provide. I am well aware for this type of procedure to be successful I will need a highly skilled surgical oncologist and microvascular plastic surg. team, without a doubt. I guess thats why I am here, looking for guidance/answers before I proceed with a consult by your office.
Lisa
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