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Breast Reconstruction- Removal of Bilateral Mammary Prosthesis and Bilateral DIEP Flap Breast Reconstruction

Breast reconstruction is a common procedure in the United States and more specifically in Newport Beach, California. Often patients may have undergone a bilateral mastectomy with implant reconstruction. At the time of the mastectomy, the nipple areola complex may have been removed and the breast reconstructed with tissue expanders and then subsequently the placement of bilateral mammary prosthesis.  When the…

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Tissue Expander and Implant Reconstruction Post-Mastectomy

Tissue expander and implant reconstruction can be accomplished at a later stage following mastectomy surgery. When the mastectomy reconstruction is performed at a later time, the term used is a “delayed reconstruction”.  During a delayed reconstruction, the mastectomy defect is re-created and often a tissue expander is placed beneath the skin and or pectoralis major muscle. The skin is then…

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DIEP Flap Breast Reconstruction post Mastectomy with Oncoplastic Mastectomy Incisions

DIEP flaps are excellent options for breast reconstruction in patients who have undergone radiation therapy. Often the skin above the tumor needs to be resected during a mastectomy and an oncoplastic mastectomy is completed to facilitate clearing an anterior margin. When tissue expanders are placed and then radiated, the tissue expander can be affected by capsular contracture forces around the…

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Oncoplastic Reconstruction of Lumpectomy Defects, IORT, and Implant Reconstruction

Patients who have breast cancer may be a candidate for lumpectomy and intra-operative radiation therapy. The intra-operative radiation therapy is completed at the time of the lumpectomy and the lumpectomy defect is closed. The aesthetic outcome following this type of oncologic resection and reconstruction can have a great outcome. 

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Mastectomy Breast Cancer Reconstruction- Implant Based Breast Reconstruction.

Bilateral mastectomy is often reconstructed with tissue expanders and breast implants. The tissue expander is inserted at the time of the mastectomy and the skin is allowed to heal and more oncologic information is gathered. Once the mastectomy skin has healed, saline is placed in the tissue expander to gradually expand the skin. The expanded skin is allowed to settle…

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