Treatment of breast cancer with lumpectomy is a viable option for many patients. Often the same patterns that are used to lift the breast can be used to resect tumors from the breast. Often the most commonly used pattern is the Wise pattern. When the breast cancer resides outside of the normal pattern, then the Wise pattern is modified to…
Breast implants can become dislodged or displaced from their surgical pocket. This can be the result of a trauma, surgery, radiation, or capsular contracture. Correction of the double-bubble deformity requires repositioning of the infra-mammary fold to its native location. Slightly decreasing the size of the mammary prosthesis can help with repositioning of the new breast implant pocket.
Incisions on the breast such as mastopexy Wise-patterns, crescents, T-lifts, etc. take several months to years to mature. In general we tell patients not to apply any creams or lotions on the skin for 4-6 weeks after surgery. After six weeks, silicone sheets can be applied to the scar to flatten the scar or prevent hypertrophic scars or keloid scars.…
Reconstruction of mastectomy defects is challenging. It is even more challenging in the face of radiation. Not all tissues and tissue types tolerate radiation to the same degree. In some patients implant reconstructions are not amenable after they have undergone radiation. Improving the tissue characteristics is important to making an implant reconstruction a viable option. One of the more common…
There are different ways that the breast can be reconstructed following a mastectomy or bilateral mastectomy. At the time of a mastectomy operation, tissue expanders are placed and the skin is allowed to heal. Once the skin has demonstrated appropriate healing, volume is added to the expanders. After an adequate time for swelling to subside, the tissue expanders can be…
Rhinoplasty is a common procedure. The results of rhinoplasty change over time. The swelling of the nose matures over time and yields more definition to the tip and dorsum. The scar contracture of the nose also changes over time and can affect the shape of the nose. The more supported the nose is with a cartilage framework, the more the…
In patients who have breast cancer, some can undergo lumpectomy and radiation therapy. In general the concept for this method of reconstruction is amenable to those patients who have a smaller tumor relative to the size of their breast. After lumpectomy and oncoplastic reconstruction in these patients, the goal is to get the wounds to heal by about the six…
Mastopexy or breast lift is a common procedure. There are many patients who are born with breasts which have a downward positioned nipple areola complex and/or breast tissue which is located below the infra-mammary fold. Repositioning the nipple areola complex as well as the breast tissue can give the breast a more youthful appearance and return self-esteem back to high…
Breast reduction surgery is a surgery with a high satisfaction rate. Patients who undergo breast reduction typically have symptoms such as neck and back pain, rashes in the breast creases, and difficulty performing exercises such as running, jogging, and jumping. After surgery patients are instructed to wear a sports bra for 4-6 weeks. Patients often report an improvement in their…
Mastopexy surgery is a surgery with a high satisfaction rate. In mastopexy surgery, the nipple areola complex is elevated to a higher position and the breast tissue that rests below the inframammary fold is re-positioned superiorly. This re-positioning makes the breast appear more youthful. Patients also report feeling more youthful with the new position of the breast. The satisfaction rate…
DIEP flaps are useful autologous flaps for breast reconstruction. There are many times when the DIEP flaps are performed in a delayed fashion with tissue expanders placed at the time of the mastectomy and prior to the DIEP flaps. In these cases, the mastectomy procedures are performed and the skin is allowed to heal with the tissue expanders in place.…
Abdominal wall hernias can occur as a congenital deformity of the abdominal wall or as a result of a previous surgery. There are many techniques used to reconstruct abdominal wall hernias as well as there are many techniques to improve the appearance of the abdominal wall. In abdominal wall reconstruction, Strattice acelluar dermal matrix is used to share the load…
