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…
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…
