Under & over the muscle implants

07/10/23 • 45 min

When it comes to implant-based reconstruction, you might hear the terms UTM and OTM. But what do they mean and why might you choose one over the other?

Luan talks to one of Australia’s leading consultant breast surgeons, Associate Professor Sanjay Warrier, about under and over the muscle implants, including:

What’s involved for UTM & OTM
What might dictate your decision
The benefits of each
Acellular dermal matrix
UTM dual plane technique
OTM two staged approach with expanders
Exercise after UTM/OTM
What happens if you have a port?
What about radiotherapy?
Potential complications of each
How these can be addressed (eg rippling)
Surveillance imaging after UTM/OTM

You might also want to:

Listen to Dr Kylie Snook talk about mastectomy and expanders
Subscribe to be notified when the episode about public & private health drops!

Links for this podcast:

Where you can find Luan:

If you’ve found any of the content upsetting, please reach out and get help. Breast Cancer Network Australia has a free confidential helpline – 1800 500 258. Beyond Blue has a range of free resources online, or you can call them 24/7 on 1300 224 636.

The information in this podcast does not constitute medical advice. For personalised medical advice you should seek a consult with a FRACS qualified surgeon.

Post-production ‘shine’ by Paddy @ Goosing Sounds Ltd (UK)

Hosted on Acast. See acast.com/privacy for more information.

When it comes to implant-based reconstruction, you might hear the terms UTM and OTM. But what do they mean and why might you choose one over the other?

Luan talks to one of Australia’s leading consultant breast surgeons, Associate Professor Sanjay Warrier, about under and over the muscle implants, including:

What’s involved for UTM & OTM
What might dictate your decision
The benefits of each
Acellular dermal matrix
UTM dual plane technique
OTM two staged approach with expanders
Exercise after UTM/OTM
What happens if you have a port?
What about radiotherapy?
Potential complications of each
How these can be addressed (eg rippling)
Surveillance imaging after UTM/OTM

You might also want to:

Listen to Dr Kylie Snook talk about mastectomy and expanders
Subscribe to be notified when the episode about public & private health drops!

Links for this podcast:

Where you can find Luan:

The information in this podcast does not constitute medical advice. For personalised medical advice you should seek a consult with a FRACS qualified surgeon.

Post-production ‘shine’ by Paddy @ Goosing Sounds Ltd (UK)

Hosted on Acast. See acast.com/privacy for more information.

Previous Episode

Breast Advocate decision-making app

In Rewritten Me’s first ever ‘extra’ episode, Luan talks to Dr Minas Chrysopoulo who devised the Breast Advocate® app.

Breast Advocate® is the world's first shared decision-making app for breast cancer surgery and breast reconstruction. It's the app that helped Dr Sandy Minck when she was researching her risk reduction surgery (episode 8).

Dr C, as he’s known, is an American-based board-certified surgeon and micro surgeon who co-created the Breast Advocate® with patient advocates and leading specialists.

Listen in to find out how the app’s easy-to-use wizard can be a useful decision-making tool, even for those who live outside of the States. And hear Dr C share how the process of partnering with patient advocates to create the app has helped him become a better clinician.

Links for this podcast:

Where you can find Luan:

The information in this podcast does not constitute medical advice. For personalised medical advice you should seek a consult with a FRACS qualified surgeon.

Post-production ‘shine’ by Paddy @ Goosing Sounds Ltd (UK)

Hosted on Acast. See acast.com/privacy for more information.

Next Episode

Why consult both a breast & plastic surgeon?

It isn't vain to want your breast/s reconstructed after a mastectomy. Some women choose not to reconstruct because they think it's cosmetic. And some women aren't given the option to reconstruct.

Reconstructive Plastic Surgeon, Dr Kirstin Miteff, talks about consulting both a breast surgeon and a reconstructive plastic surgeon when you research your reconstruction options.

Dr Kirstin also talks about how a referral to a plastic surgeon at the time of a breast cancer diagnosis may reduce the reconstruction timeline for some patients.

Luan and Dr Kirstin also talk about:

What a reconstructive plastic surgeon does
The role of plastic surgeons & breast surgeons
And how they work alongside each other
What to consider when choosing your reconstruction
Telehealth consults for regional/rural patients
What to ask a reconstructive plastic surgeon
The training path of reconstructive plastic surgeons
How some women haven't been offered recon

You might also want to:

Listen to Dr Joe Dusseldorp talk about DIEP 'flap' strategies
Listen to Dr Bish Soliman talk about other 'flap' options
Subscribe to be notified when the episode about public & private health drops!

Links for this podcast:

Where you can find Luan:

The information in this podcast does not constitute medical advice. For personalised medical advice you should seek a consult with a FRACS qualified surgeon.

Post-production ‘shine’ by Paddy @ Goosing Sounds Ltd (UK)

Hosted on Acast. See acast.com/privacy for more information.