Capsular contracture can be a challenging problem for patients and surgeons. Often correcting a chronic capsular contracture may require a staged procedure to most effectively treat the problem. When a capsular contracture is recurrent, it is often best to remove the implants for approximately one year prior to placing the implants back into position. Removing the mammary prosthesis and changing…
Reconstructing the dorsum of the nose can be a challenging part of airway reconstruction or rhinoplasty. The nasal dorsum can require reconstruction when there has been previous trauma or when their has been previous corrective surgery to the nose. When the nasal dorsum has irregularities or when the airway is compromised, spreader grafts are needed to either open up the…
Facelift and necklift operations can be extremely rewarding for the patient and the physician. Patients who are great candidates for facelift operations state that they feel young but that they notice that their facial appearance is not congruent with how they feel. These patients are excellent candidates for facelift operations. The facelift operation takes approximately 4-5 hours and patients typically…
Mastopexy operations are common operations. Often a mastopexy can be done to lift the breast into a more youthful position. The mastopexy can also be performed to put the nipple areola complex in a more youthful position prior to undergoing a mastectomy operation. In patients who are ptotic, the nipple areola complex can not be elevated in one stage during…
When a patient undergoes a bilateral mastectomy, there can be several different options for breast reconstruction. One option is to reconstruct the breast with mammary prosthesis or breast implants. In patients who are not going to undergo radiation therapy implant reconstruction can be a viable option for breast reconstruction. In an implant reconstruction, often a tissue expander is placed first…
The lower face and neck is one of the areas of the face where young women show signs of aging prematurely. There are many patients who are very physically fit and maintain a healthy and strong body physique, but may have some signs of aging in the face as a result of previous weigh gain or weight loss. Some women…
When tumors are close to the nipple areola complex the nipple is often removed at the time of the lumpectomy to clear the anterior margin. When mammary prosthesis are in place, often the mammary prosthesis can be removed at the time of the lumpectomy procedure. Patients often choose to have their implants removed at the time of lumpectomy as they…
Breast reconstruction for bilateral mastectomy can be accomplished in several ways. One option for breast reconstruction is the placement of tissue expanders at the time of mastectomy and then removal of the tissue expanders and replacement with implants at a later date. The interval placement of tissue expanders allows the skin to heal prior to the direct placement of implants.…
In patients with ptotic breasts who have breast cancer, the nipple areola complex can not often be kept alive during the mastectomy because the remaining blood supply is not adequate enough to perfuse the nipple areola complex. In these patients, the nipple areola complex is removed at the time of mastectomy. These patients can then choose to undergo nipple areola…
There are often times when patients may undergo a lumpectomy with an oncoplastic reconstruction of the lumpectomy defect and then in the future undergo a mastectomy. This may happen in patients who have a genetic mutation that puts them at higher risk for breast cancer. In these patients, the nipple areola complex may be preserved as it is re-positioned to…
