Follow Up Appointments after Reconstruction Completion
I've declared my reconstruction done until the tattoo and saw my plastic surgeon. I asked how would I know if they were broken or needed replacing. He said I likely won't but if something doesn't ever feel or look right or if I just want more fat grafting I can come back. Since I was 46 at the time of implant installation, my assumption was I would need these replaced in my lifetime. I am still seeing my breast surgeon about the cancer once a year, but I thought I would have some follow up schedule regarding the reconstruction also. Is anyone else basically done and still sees their plastic surgeon?
Comments
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Mine does an annual although I am not there yet as I am still in the throes of recon issues. I am no longer seeing my BS, as last time I was handed off to a resident so I figured it was not necessary if I was still seeing my MO twice a year and the PS seemingly about once a week, lol! Most implants come with a 10-year warranty - I have seen posts that indicate that they need to be replaced every ten years - which is untrue, but if they are replaced within ten years from the exchange date the manufacturer has some financial obligation. After ten years they do not, so I think that gets confused. I have not had an MRI, nor has anyone discussed having one, but I would want one within that 10 year time frame to see if replacement was needed so that it fell within the warranty period.
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I had a DIEP so no need for eventual replacement, but both my BS and PS followed up with me for 5 years.
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After two years my BS has released me and said if I notice anything concerning give him a call. I will see my MO in January and she what he says, this is a new Dr. I will see because my pervious Dr. left the cancer center. As for my PS, his nurse said I will see him once a year for life. No mention yet about MRI, but it has only been 2 years.
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Thank you for your responses. Maybe my PS just doesn't like me! I will ask my BS about this next time I see him.
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I never saw my BS again after my BMX.
I saw my PS regularly through fills and Exchange, and then for six months as I had some complications. When he determined that they WEREN'T from the implants, he said I didn't need to come back and see him at all, unless I had a problem with my implants. ( I have salines... if one springs a leak, I'll know pretty quickly!)
I saw my MO every three months for the first year, for follow up exams and monitoring of my AI dosage.
At the 2 year mark, I saw her every six months.
Now I'm 3 years out, and I only need a manual exam every year. Don't need the MO any more, as I stopped the AIs. She says I can go see the BS (a new one, since original doc retired) or to my OB/GYN, along with self-checks.
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My PS told me that "technically" they wouldn't need to be replaced if there wasn't a need. He said the studies go out 18 years. Also that the implants themselves were free (through insurance I imagine but not sure) due to the fact that they are considered a prosthetic device. I assume this has to do with the laws governing the reconstructive surgery. No mention of follow up MRI's though I agree one every ten years is prob a good idea to rule out a micro-rupture.
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