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Is is possible to remove a tram flap and insert an implant?

Q:

In 1998 I had a left tram flap post breast cancer. 7 months later I had breast cancer on the right side. I have an implant on the right. I have gained weight and now the left is 2 times the size of the right. The left hurts and pulls. I want the ab muscle cut out and an implant put in. That way they will be the same size and won't hurt or pull. Is this possible?

A:

Carrie,

 

 Since 1998 there have been some major advancements in the field of breast reconstruction. There is now a Federal Law that requires all insurance carriers to cover breast reconstruction surgery and symmetry of the contralateral breast. New advancements in breast reconstruction with the use of Artificial Dermis Matrix or ADM's make breast implants a good option. 

 So, the answer is YES. Consider seeking out a member of the ASPS or ASAPS in your area. They are experts in Breast Reconstruction surgery. Best,

 

Gary R Culbertson, MD, FACS

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