anyone opted for alloderm and willing to share experience

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lioara
lioara Member Posts: 4
Hi,
Just wondering if anybody opted for alloderm with Dr. Ashikari (surgical oncologist) and Dr. Salzberg (plastic surgeon) at Dobbs Ferry Hospital in Westchester County.  I would appreciate your advice. Thank you.

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  • drgnfly
    drgnfly Member Posts: 111
    edited July 2008

    Take a look on the surgery and reconstruction thread. There was just a big discussion about Alloderm that might be helpful to you.

  • peapot
    peapot Member Posts: 72
    edited July 2008

    I had a bilat in January with alloderm placed as pockets for the implants,it was attached to the muscle below my breast.  I have had  my exchange surgery and can honestly say that other than not having nipples, my breasts are very close to being the same as they were before.  I was fortunate not to have too much of a sag to begin with (at 42) and my ps was able to give that to me with a slight fold under the breast, very natural looking.  I'm not allergic to much so wasn't too worried but I have had absolutely no trouble or pain and mostly don't remember it's there.   My insurance co automatically denied the alloderm but covered it without a fight on my part. Very happy so far.

  • TrixieTumor
    TrixieTumor Member Posts: 14
    edited July 2008

    I'm a Dobbs Ferry graduate. What do you want to know?

    TT

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited July 2008
  • HensonChi
    HensonChi Member Posts: 357
    edited July 2008

    Hmmm what to do with these children ruining the boards?

  • HensonChi
    HensonChi Member Posts: 357
    edited July 2008

    Bump...we love you too!

  • lioara
    lioara Member Posts: 4
    edited July 2008

    Hi,

    I would like to know your overall experience: if you are satisfied with the results? was it painful? how long is the process? did the insurance cover everything w/o a fight? when did you do the surgery? was it one step (one surgery)? Anything that you will like to share!

      Thx so much!!!Smile

  • bermudagem
    bermudagem Member Posts: 337
    edited July 2008

    I have AlloDerm. I think that it is wonderful.I had a little tightness when I had my fills, That is all. I could still vacuum, cook, clean...etc.  I have not had really much pain, I don't know if The AlloDerm had anything to do with it. It has given me a very nice fold at the bottom of my expander. I am still in expander stage, But if you look, and don't hug me...lol...(they are hard) You would not even know I have expanders. My closest friends can not believe how real my foobs look. I have had a wonderful experience with the AlloDerm. No problems at all. So far I am very satisfied.

    I had my Right breast done in Dec 07'. And my left April 08'. My insurance did not have any problems paying for mine. I have One Net PPO. I don't know if that makes a difference. Did not have fight for anything really.

    I did not have one step. My PS does it, but prefers to do the expander, because he thinks it has better outcome. And the size I wanted to be, will not work well with the one-step. I would be smaller then I would like to be.  I have seen pics of both at his office. I wanted to this the expander way.

    Shelly

  • TrixieTumor
    TrixieTumor Member Posts: 14
    edited July 2008

    In answer to Lioara's questions:

    1) if you are satisfied with the results?

    So far. I haven't reached the 6-month mark yet, when things are supposed to be mostly "done." Done settling, dropping, fluffing, etc. I also have a huge problem with edema/lymphedema right now that's distorting my breast shape. When I'm done with chemo, I'll have a better idea of the end result.

    2) was it painful?

    As painful as any surgery I've had. Unlike some people, I don't do well with scalpels. We're all different, so I'd say you should base your expectations on how you've reacted to previous surgeries. (If this is your first, I'd say prepare for the worst and hope for the best.)

    I began to taper the narcotics at three weeks and was off them at five. The strap you wear to keep the implants from floating up to your chin became unpleasant after 3-4 weeks just because I wore it constantly. And I did experience a lot of pain at week 4 when the pressure on my ribs from the underwire in the shaping bra became too much. But switching to a non-wire bra at night relieved that.

    When I weigh the One-Step experience to the potential for weeks and weeks of horrible aches from fills, or recovery from two surgical sites and the multiple steps of a tissue transfer, I'm happy with my choice. Of course, I don't have direct knowledge of either of the other two, so I had to go with my gut feeling on what was best for me.

    3) how long is the process?

    Pre-op tests, 2 hours. Day-of prep/waiting, 4 hours. Surgery, 3 hours. Drains, 8 days. Shaping bra and strap, 6 weeks. Drop and fluff, 6 months? I've also been told by other women that your breasts can change and settle up to a year later. I'm not that far out yet. 

    4) did the insurance cover everything w/o a fight?

    I have gold-plated insurance. Evidently that's unusual. I've never had a hassle about anything during this whole miserable time. 

    5) when did you do the surgery?

    February 7, 2008. I doubt I'll ever forget the date.

    6) was it one step (one surgery)?

    Yes. No fills, no swaps. I left the OR with my final implants in place. 

    7) Anything that you will like to share!

    a) I saw a local plastic surgeon for follow-up about 10 weeks post and she said my foobs looked better than some augmentations. 

    b) I desperately miss nipple sensation. It was a big part of my sex life. I do have feeling over most of my breast, however, and it is erotic when the right man touches me in the right way. Fortunately, I married the right man :-)

    I'm sorry you're faced with such a tough decision, Lioara. The diagnosis line doesn't list it, but I'm BRCA2+; I was in the same boat.

    TT

  • bisous3
    bisous3 Member Posts: 116
    edited August 2008

    I had my Alloderm One Step with Drs. A & S in Dobbs Ferry last year. It was prophylactic as I am BRCA 2+. The first week was not fun because of the drains, but I have to say once the drains came out I felt like I got over a huge hump in the recovery process. Any pain I had was easily controlled with Percocet, and immediately after surgery I had the On Q Pain Pump which worked like constant little doses of novocaine to the incision sites. I was back teaching dance class 2 weeks post surgery....honestly I would do it again in a heartbeat and my results were terrific- I really do look better now than before!

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