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…
Bilateral DIEP flap reconstructions are common operations for breast cancer reconstruction. When the breast has been radiated, DIEP flaps can be very helpful for breast reconstruction. When implants or expanders have extruded through the skin the DIEP flap can help reconstruct the breast. After the breast has been reconstructed with a DIEP flap the final stage of the reconstruction is…
Breast reduction is a common procedure. Breast reduction procedures often occur at the same time as a removal of a mammary prosthesis. The satisfaction rate associated with breast reduction procedures is quite high. Patients who request breast reduction often are at a time in their lives when they wish to be more active and more mobile. Breast reduction surgery takes…
Breast cancer that is treated with lumpectomy defects will often undergo radiation therapy. The radiation therapy can adversely effect the skin and tissue of the breast. Common changes can be atrophy of the skin and fat necrosis. The latissimus flap can be helpful to fill lumpectomy defects or defects that occur after removal of fat necrosis. The latissimus flap can…
Bilateral DIEP flaps are rewarding procedures to perform. In patients who have larger breasts and who undergo mastectomy, there are often implants that are not large enough to adequately reconstruct the breasts. In these patients the tissue from the lower abdomen can be used to reconstruct the breasts and provide a natural look and feel to the breast. After the…
The abdominal contour can often be improved with hernia repair and tummy tuck operations when used in combination. Typically, I tell patients that after they undergo tummy tuck and hernia repair operations, that they will often feel very full soon after eating meals. Prior to the tummy tuck operation, when the abdominal domain is expanded, there is more room in…
Abdominoplasty is a commonly performed procedure. Typically patients come to our offices who have been exercising for quite some time, but who have difficulty tightening their lower abdomen. After childbirth, the lower abdomen can become significantly loose and distended. Often times, the lower abdomen will not “tighten-up” despite sit-ups or crunches. Abdominoplasty procedures can be helpful to tighten the…
Abdominoplasty procedures are commonly performed to improve the abdominal contour. It is important when contouring the abdomen, to pay attention to the belly button. Not only is belly button position important, but so is the overall shape and how it heals. Healing can be unpredictable with several factors such as genetic make-up, diet, etc. having significant factors.. I…
Abdominoplasty procedures are commonly performed to tighten up the abdominal wall. Typically after multiple pregnancies, women have developed a laxity of the abdominal wall that can not be improved with diet and exercise. Any underlying hernias are repaired at the same time that the abdominal wall is repaired. Repair of the abdominal wall is accomplished with plication sutures that…
Abdominoplasty procedures are common operations. Patients who present for abdominoplasty procedures often have laxity of their abdominal wall from childbirth as well as lax abdominal wall skin. During an abdominoplasty operation, the lower abdominal skin is excised, the rectus muscles are repaired in the midline of the abdomen, and the umbilicus is then delivered through a new location in…
