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Left Breast DIEP Flap Revision. Correction of Mastectomy Symmastia and Implant Augmentation of DIEP Flap

Mastectomy surgery and breast reconstruction are challenging. Depending upon the size of a tumor, the location of the tumor, and patient comorbidities the blood supply to the nipple areola complex can be compromised as well as the mastectomy skin. Occasionally, during a mastectomy, the midline of the chest can be inadvertently crossed, and the reconstruction can result in a symmastia. …

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Implant Reconstruction following Bilateral Mastectomy

Breast reconstruction is a challenging specialty in plastic and reconstructive surgery. Not only does the patient and reconstructive surgeon have to contend with a foreign object of the mammary prosthesis, but also chemotherapy and radiation which can make the reconstructive process more challenging.  The photograph demonstrates before and after implant reconstruction of bilateral mastectomy defects with bilateral mammary prosthesis. The…

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Secondary Breast Augmentation to Improve Rippling and Overall Breast Aesthetics

There are many clinical scenarios where a patient chooses to revise or improve upon her previous breast augmentation.  One of the more common reasons for a patient to desire revision of her breast augmentation is when the breast implants have palpable or visible rippling. Rippling of the breast implant can be related to the patient’s body habitus, for example in…

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