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Author page: Brian Dickinson

Oncoplastic Reconstruction of Lumpectomy Defects with Implant Exchange and Radiation

Oncoplastic Reconstruction of Lumpectomy Defects with Implant Exchange and Radiation

In patients who have implants and develop a cancer, the cancer can sometimes be removed as a lumpectomy. Lumpectomy is often treated with radiation therapy post-operatively. Radiation can increase the risk for capsular contracture in the radiated breast. Correction requires release of the encapsulated breast pocket or excision of the capsule and often a lift of the contralateral side.

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Bilateral DIEP Flap Reconstruction Following Tissue Expander Reconstruction

Bilateral DIEP Flap Reconstruction Following Tissue Expander Reconstruction

DIEP flap reconstruction can be used to reconstruct the breast in patients who have undergone radiation who are no longer candidates for implant reconstruction. In the radiated breast, the skin may not tolerate an implant or may be more susceptible to infection. In these patients the breast is reconstructed with the patients own body tissue. This photos shows a bilateral…

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Removal and Replacement of Mammary Prosthesis-Staged Reconstruction

Removal and Replacement of Mammary Prosthesis-Staged Reconstruction

Patients with breast implants may encounter capsular contracture. Some patients may get capsular contracture repeatedly. In patients with capsular contracture we recommend removal of the mammary prosthesis. Often patients do not want do be completely done with their mammary prosthesis and we then encourage patients to have smaller mammary prosthesis replaced. It is often helpful to have the mammary prosthesis…

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DIEP Flap Breast Reconstruction and Mammary Prosthesis

DIEP Flap Breast Reconstruction and Mammary Prosthesis

DIEP flap reconstruction is a common method of reconstruction. Occasionally the lower abdomen does not have sufficient tissue for a bilateral reconstruction and the flap reconstruction can be augmented with mammary prosthesis. Typically, we wait until one year after a DIEP flap reconstruction to augment the breast. The satisfaction rate is high with augmentation of the DIEP flaps because the…

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