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Removal of Mammary Prosthesis and Breast Lift

Breast cancer reconstruction and aesthetic breast surgery share many similar principles. Removing breast implants and performing a breast lift (mastopexy) is a common procedure and may be a component of breast cancer treatment. In a patient with significant breast ptosis who undergoes a mastectomy for breast cancer, the nipple areola complex cannot often remain viable nor can it reliably be…

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Bilateral Immediate DIEP Flap Breast Reconstruction

Breast reconstruction can be done in an immediate setting at the time of mastectomy or can be accomplished in a delayed setting after mastectomy. When an immediate breast reconstruction with flaps is to be performed it is important that the quality of the mastectomy flaps is considered.  During the DIEP flap harvest, the skin and fat from the abdomen is…

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Bilateral DIEP Flap Breast Reconstruction

Breast cancer reconstruction can be challenging for the Plastic & Reconstructive surgeon as well as the patient. In the patient with “ptotic” breasts, where the nipple areola complex is significantly below the inframammary fold or breast crease, the nipple cannot be safely kept during a mastectomy based on significant impairment in blood supply. In these cases, when the nipple is…

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Implant Removal, Mastopexy, and Oncoplastic Closure of Lumpectomy Defects

Breast cancer can be treated with lumpectomy. The same patterns that are used for a mastopexy (breast lift) can be used to facilitate breast cancer treatment. If a cancer lies outside of traditional patterns, then the breast lift pattern can be modified to remove the skin above the tumor when necessary. One component of breast cancer treatment for lumpectomy is…

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DIEP Flap Breast Reconstruction

Breast cancer reconstruction is one of the most challenging aspects of Plastic & Reconstructive Surgery. The surgery often involves an oncologic component that requires close attention and may require chemotherapy before and/or after surgery that needs to be completed in a timely manner. The DIEP flap uses microvascular soft tissue transplantation to transfer the skin and fat from the abdomen…

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Bilateral Mastectomy Breast Reconstruction with DIEP Flap

Mastectomy Breast Reconstruction is challenging. Mastectomy reconstruction in some patients can involve using the patient’s own tissue rather than implants for breast reconstruction. In the DIEP flap breast reconstruction, the lower abdominal tissue that is usually discarded in a tummy tuck is used to reconstruct the breast. The deep inferior epigastric artery and vein provides the blood supply to the…

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Lumpectomy Reconstruction with Latisimus Dorsi Flap Reconstruction

In some breast cancer patients who have lymph node positivity or large tumors, breast cancer may be best treated with lumpectomy if radiation will be needed for either lumpectomy or mastectomy. When the breast tumor is close to the overlying skin or involves the overlying skin, the skin will need to be removed during a lumpectomy or mastectomy.  The latissimus…

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Mastectomy Reconstruction with DIEP Flap

Breast cancer reconstruction is challenging. In some patients, who do not wish to have implants, we can reconstruct the breast with the patient’s own body tissue. This is called an autologous breast reconstruction. In the DIEP flap reconstruction, the skin and fat from the abdomen and sometimes a small cuff of rectus muscle is disconnected from the blood supply in…

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Bilateral Implant Reconstruction for Mastectomy

Breast implant reconstruction after bilateral mastectomy for breast cancer or BRCA-1 positivity can be challenging. After a mastectomy, there is less blood flow to the skin and there less soft tissue coverage available for an implant. Some patients may experience cellulitis, gross infection, or significant capsular contracture after mastectomy reconstruction. In some patients that experience this we remove the implants…

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