October is Breast Cancer Awareness Month. Breast cancer can be treated with lumpectomy or with mastectomy. Breast reconstruction is challenging. When the breast is reconstructed with tissue expanders and implants, there are two options of expander placement. Pre-pectoral (in front of the muscle) and sub pectoral (behind the muscle). Either plane is used today. In some instances, the tissue expander…
It is important for patients to understand that often in the most hostile soft tissue environments there may still be possibilities for breast cancer reconstruction. With adequate interval decolonization of mastectomy pockets, time, appropriate nutrition, appropriate tissue expander or implant size selection, and hyperbaric oxygen we can often improve upon a patients reconstruction. Breast cancer reconstruction is a challenging field…
October is Breast Cancer Awareness Month. Breast cancer and breast cancer reconstruction can be challenging to treat, reconstruct, and manage. There are however, many different options available to patients to reconstruct the breast. The mastectomy operation in itself can significantly devascularize the skin of the chest wall. Placing tissue expanders at the time of mastectomy can often lead to cellulitis…
The deep plane lower face and neck lift is one of the most effective procedures to restore facial volume to the proper location. As we age the facial volume often descends. This can result in laxity of the neck as well as jowls along the mandibular border. The jowls create a more rectangular appearance along the mandible. The region beneath…
Abdominoplasty is often performed for various reasons. One common reason is patients may have stretch marks after childbirth or other patients may simply have excess skin of their lower abdomen that they can’t lose from working out. Occasionally patients undergo liposuction to improve on this skin contour. In younger patients who have skin with great elasticity, liposuction may be able…
Abdominoplasty is a common procedure that can improve the appearance of the abdominal wall. A common reason for someone to want an abdominoplasty is to tighten the lower abdomen after childbirth. The photograph demonstrates before and after abdominoplasty to improve the appearance of the lower abdomen after childbirth.
Abdominoplasty is a common operation to improve the appearance of the lower abdomen. After childbirth, the abdominal muscles and the abdominal skin gets stretched out. The stretch marks and loose skin is disturbing to the patient. The abdominoplasty helps to improve the appearance of the skin by removing the stretch marks, re-draping the skin into a more acceptable position, improving…
The lower face and neck lift is an effective procedure to restore a youthful appearance to the face. As we age and work towards losing weight, the volume of the cheeks and lower face descend below the mandibular border. The lower face and neck lift can help lift and restore facial volume secondary to weight loss and aging. The accumulation…
Breast augmentation is a very common procedure. The most common implants placed in our practice are smooth round silicone gel mammary prosthesis. In general, we tell patients that they can get the longest life out of their implants with the fewest complications if they choose an implant that is the right size for their body. This is often based on…
The abdominoplasty or tummy tuck is a common operation to help change the appearance of the abdomen after childbirth. Common reasons for patients to want an abdominoplasty are excess abdominal skin, stretch marks, and a lax abdominal wall. A tummy tuck operation involves elevating the abdominal skin, tightening the abdominal muscles, and then excising and re-draping the abdominal skin. The…
