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sleeping with tissue expanders

A tissue expander consists of an inflatable silicone bag with an inflation port attached via a tube. Some common areas for tissue expansion are in the thigh, back, abdomen and scalp. I cannot sleep on my back and it is so uncomfortable sleeping on my side. felt like deflated footballs = they are uncomfortable and do not feel anything like natural - soft breast tissue -- just bulky, hard and un-natural. Avoid the use of tissue expanders, which stretch the pectoralis (chest) muscle to make a space for an eventual implant. The expander has a port (a metal or plastic plug, valve, or coil) that allows the surgeon to add increasing amounts of liquid (a salt water solution) over time (between 2 to 6 months) until the skin gradually is stretched enough to accommodate the implant. The plastic surgeon doesn't believe in giving pain medication to help with sleep. I just got my implants and they don't want me sleeping on my side for several weeks. This matrix provides a scaffold upon and within which the patients own cells can repopulate and revascularize the implanted tissue. Hi, I had my bilateral toatal mastectomy with tissue expanders in 2012. I do have my implants now and sometimes am still sore or tender. 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. What to Expect When Getting Tissue Expanders Filled Before Implants. Best of luck to you. Tissue Expanders -- does it get better? If the rupture occurs near the bottom, you will likely experience an overall deflation of the ches… The tissue expander prepared my skin for the final outcome. Its utility has been demonstrated in various reconstructive techniq… When a mastectomy is required to treat breast cancer, the breast is removed, resulting in a deficit of breast and skin tissues. Discover the best Camping Sleeping Bag Expanders in Best Sellers. However, internal tissue expansion can generate far greater tissue than external expansion can and, in the repair of large defects of the head and neck, remains the more reliable of the two methods. Tissue expansion advantages. They will dig into you, you will have to sleep at an upwards angle and the only type of bra you can wear in an attempt to look normal is a bandeau type bra or a special post mastectomy bra but, from the ones I've seen, they might be questionable too. Tissue expansion can be done practically anywhere on the body, and your child’s doctor will determine the best area for the expander balloon to be placed. 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. 1. What is tissue expander breast reconstruction? A new expander can then be inserted. For instance, if the rupture occurs at the top of the eggplant-shaped device, the top part of the breast may suddenly flatten. I tried on bras and tried to work out where I was in relation to the original girls, but nothing really convinced me either way. The tissue expanders are filled with saline and they are hard. It makes it much easier to do the … Bed sharing is a risk factor for SUIDS and other sleep … I was also having an issue with being called a cancer survivor. I'm hoping the permanent implants will feel nothing like these expanders. The tissue expander is a silicone balloon that the doctor fills. Many women choose to sleep in a recliner during this time. Tissue expanders are not always used, but sometimes a doctor chooses to use one because it helps you 'grow' extra tissue for your implants. If your tissue expander is placed over the muscle, it will be filled with air which is less dense than normal saline. It’s pretty common to prescribe sleep and anti-anxiety meds to people going through chemo. I do not need radiation, chemotherapy, or pills as there was no cancer found in my body at the time of surgery. Tissue Expander to Implant Breast Reconstruction. Filled tissue expander A Tissue expander -- filled B Port C Catheter D Syringe E Ribs Post #8; Tue Mar 11, 2014; Erica. 5.0 out of 5 stars Recovery bra: double masectomy with tissue expanders Reviewed in the United States on August 8, 2019 I bought this product to try as a more normal looking recovery bra (thinner straps, slight V shape, nude color, adjustable straps, front closure) after my double masectomy. The tissue expanders will remain in place for a minimum of 8 weeks after completing the last tissue expansion. You may have some pain, but many women are pleased with the final result. This is called acellular dermal matrix. This stretched skin becomes tight but not painful. Don’t be ashamed to ask. tissue expander (s). Now that most of the pain from the surgery has eased, I realize that it's the TEs causing me the most trouble. The ABC's of Safe Sleep. If the tissue expander is placed over your muscle, your surgeon will also place a mesh around the expander. Introduction: Overfill of tissue expanders is a commonly used modality to achieve customized dimensions in breast reconstruction. 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. Today, AlloDerm® a… A recliner will support your upper body and help you maintain the ideal sleeping position. Alone- Babies should always be on their own sleep surface. I wonder if I’ll ever be able to sleep on my stomach again. [7] ADMs are soft tissue matrix grafts created by a process that results in decellularization but leaves the extracellular matrix intact. My expanders like so many here on our board . It could be my imagine but I just wanted to know if that is a common complaint. 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. That said, be aware that sleep and anxiety meds can be addictive. This will allow for the soft tissues (i.e. Instead, the pectoralis muscle in combination with Alloderm or Strattice accommodates the permanent implant directly at the time of mastectomy (no painful expansions for months after surgery required.) There is no manufacturer's suggested filling range as exists for breast implants. Your body is being hit with a marathon of insults; it needs sleep in order to fight your cancer. Tissue expansion, however, provides an added technique with several advantages: Expansion offers a near-perfect match of color, texture and hair-bearing qualities Most sleep related deaths are a preventable cause of death in infants. The mesh will help support the expander while your skin is healing. This usually subsides with time. Find the top 100 most popular items in Amazon Sports & Outdoors Best Sellers. By Elizabeth Nelson. . 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. 4. When I rolled to my side I had to sort of hold the side of the expander so it would lay flat and find the most comfortable spot to lay. This peer-to-peer support is crucial in allowing survivors, fighters and supporters/caregivers to share firsthand experiences about treatment, side … Sleeping on your side or stomach immediately after breast reconstruction is not permitted. Erica. Mostly it's not quite pain, but ongoing discomfort. These positions put unnecessary pressure on your healing breast tissue and incisions. External tissue expansion devices are simpler to apply than internal tissue expanders, and some argue that they cause fewer complications. Hi, I'm Erica Erica. Tissue expanders are temporary devices designed solely to expand tissues to accommodate the final breast implant. Usually, the expander is placed near the site of the skin being replaced so that a flap of skin can be created. She recommends physical therapy. You may feel chest persist tightness or heaviness secondary to being expanded. The amount of saline inserted into an expander is determined by the expansion needs of the individual patient. 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. Until recently, surgeons were limited to skin flaps and skin grafts to reconstruct damaged tissue. To make sure that your baby is sleeping safely, follow the ABC’s of safe sleep (below). Continued Acellular dermal matrix (ADM) has been used as a soft tissue replacement since its introduction in 1994. IHadCancer is a cancer support community that empowers people to take control of life before, during and after cancer. The tissue expander is filled to a certain volume by adding saline, usually once a week for a few sessions. I will need to sleep on my back for the time being anyway, but I’ve become pretty used to this position since tissue expanders. My plastic surgeon planned my tissue expansion to match the volume of the implants that I selected, and the implant matched my chest wall diameter and the cup size that I requested. Although it's difficult to sleep at any time immediately after your breast reconstruction surgery, it's especially difficult during the tissue expander process. The upper portion of the tissue expander is covered by pectoralis muscle, but the lower portion of the tissue expander is covered by AlloDerm®. Dr. Sachin Shridharani, a cosmetic surgeon at Luxurgery in New York City says that the placement of the tissue expander is associated with the same sort of pain typical of any surgical procedure. This is usually performed as a multiple-step procedure starting with tissue expanders. I also put a fat pillow in front of me to rest my upper arm on and one between my knees to help me stay still. Tugging and light burning sensations felt when I over used my arms, or lifted too much weight while grocery shopping - etc. The shape fills the expander and does not look or feel like a breast. The rupture of a breast tissue expander may not be all that noticeable at first. Sometimes they are actively painful, especially if that area is touched, even lightly such as by clothing. Just keep moving and keep talking with your doctor. Since tissue expansion is a process and not a single procedure, patients experience different degrees of discomfort and pain along the way. I am now 3 1/2 weeks post-mastectomy, and still VERY uncomfortable. They are not soft like implants, they are 'hard' or strong to allow for expansion. He is finally sleeping comfortably. 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. . 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. Thinking about giving up my favorite sleeping position for good makes me sad, but I can’t think about that now. The expander is inflated by injecting saline through skin into the port, which stretches the overlying skin. If you’re having trouble sleeping, tell your medical team. 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