The plastic surgeon doesn't believe in giving pain medication to help with sleep. I do have my implants now and sometimes am still sore or tender. I just got my implants and they don't want me sleeping on my side for several weeks. Traditionally, the pectoralis muscle covers the entire expander, but this creates more pain and slows the expansion process because the muscle has been stretched over the entire implant. What to Expect When Getting Tissue Expanders Filled Before Implants. Find the top 100 most popular items in Amazon Sports & Outdoors Best Sellers. Its utility has been demonstrated in various reconstructive techniq… Usually, the expander is placed near the site of the skin being replaced so that a flap of skin can be created. Post #8; Tue Mar 11, 2014; Erica. You may have some pain, but many women are pleased with the final result. A tissue expander consists of an inflatable silicone bag with an inflation port attached via a tube. I do not need radiation, chemotherapy, or pills as there was no cancer found in my body at the time of surgery. Filled tissue expander A Tissue expander -- filled B Port C Catheter D Syringe E Ribs By Elizabeth Nelson. Tissue Expanders -- does it get better? I had a double mastectomy with nipple sparing and temporary tissue expanders put in 3 weeks ago as a result of DCIS in two places in my left breast. You may experience a gradual decrease in the size of your breast or notice that the shape of your breast has suddenly (or gradually) changed. At the time of the initial operation after mastectomy or delayed months to years after mastectomy, a tissue expander is placed beneath the pectoralis major muscle. This usually subsides with time. Thinking about giving up my favorite sleeping position for good makes me sad, but I can’t think about that now. A breast tissue expander is an inflatable breast implant designed to stretch the skin and muscle to make room for a future, more permanent implant. This is usually performed as a multiple-step procedure starting with tissue expanders. The tissue expanders will remain in place for a minimum of 8 weeks after completing the last tissue expansion. Your body is being hit with a marathon of insults; it needs sleep in order to fight your cancer. If your tissue expander is placed over the muscle, it will be filled with air which is less dense than normal saline. This matrix provides a scaffold upon and within which the patients own cells can repopulate and revascularize the implanted tissue. Today, AlloDerm® a… The most common method of breast reconstruction currently performed in the US uses tissue expanders and breast implants, usually with an ADM (acellular dermal matrix) such as Alloderm. The tissue expander is filled to a certain volume by adding saline, usually once a week for a few sessions. The shape fills the expander and does not look or feel like a breast. . For many women, the thought of having to have expanders and get them filled regularly in preparation for breast implants is one of the scariest parts about recovering from breast cancer. I wonder if I’ll ever be able to sleep on my stomach again. The mesh will help support the expander while your skin is healing. Tissue expanders are temporary devices implanted within chest muscles after a mastectomy, the main goal being to expand the tissues of the chest in order to accommodate an implant after removal of the patient’s own breast. Erica. These positions put unnecessary pressure on your healing breast tissue and incisions. My expanders like so many here on our board stomach again sleep on side! My arms, or pills as there was no cancer found in my body at the time of surgery needs. 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