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Breast Reconstruction following Mastectomy with Tissue Expander and Implant Reconstruction

Breast reconstruction following mastectomy is a common procedure. When the breast is ptotic, I often find that patient will do better when the resulting skin pattern is in the form of a Wise pattern. The Wise pattern allows the removal of ptotic skin and creates a skin envelope for an aesthetically pleasing breast. Tissue expander placement beneath the muscle entirely…

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DIEP Flap Breast Reconstruction

DIEP flap breast reconstruction is commonly used to reconstruct the breasts following mastectomy. When performing DIEP flap breast reconstruction, the lower abdominal tissue is used to replace the breast tissue and/or skin that have been removed. In patients who have ptotic breasts, or breasts in which there is a long sternal notch to nipple distance then the mastectomy may be…

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Bilateral DIEP Flap Reconstruction and Prior Radiation

Deep Inferior Epigastric Artery Perforator (DIEP) flaps are often a great choice when reconstructing the breast following mastectomy that has undergone radiation. There are many different scenarios that present to plastic and reconstructive surgeons with regard to breast reconstruction. We often see patients in our office who have undergone mastectomy followed by radiation and who now choose to undergo breast…

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DIEP Flap Breast Reconstruction

DIEP flaps are commonly used to reconstruct the breast following mastectomy in the setting of radiation. After a mastectomy and radiation, the skin that has been radiated, will not expand appropriately to accept an implant. Often the tissue has been damaged from the radiation and needs to be excised to appropriately reconstruct the breast. Autologous tissue reconstruction is the reconstruction…

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Staged DIEP & Implant Breast Reconstruction following Radiation Therapy

Radiation therapy is often a necessary tool in the treatment of breast cancer. When breast reconstructions have been radiated, a patient’s skin and soft tissues can react in many different ways. The breast implant beneath the radiated tissue can undergo capsular contracture and occasionally the skin can undergo degenerative changes that can lead to wound breakdown and possible implant exposure.…

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DIEP Flap – Setting up for the Second Stage

DIEP or deep inferior epigastric artery perforator flaps for breast reconstruction are commonly used in delayed breast reconstruction and following radiation therapy. Breast reconstruction with DIEP flaps typically require three stages of surgery to maximize the symmetry that is able to be obtained. In the first stage, the skin and fat from the lower abdomen is harvested and then transferred…

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Bilateral DIEP Flaps for Autologous Breast Reconstruction

DIEP flap breast reconstruction is becoming more common. Patients who are seen in consultation for mastectomy often choose to undergo autologous breast reconstruction. Patients who wish to undergo autolgous reconstruction choose to use their own body tissue to reconstruct their breasts. When patients use their own body tissue for reconstruction, it obviates the need for breast implants. Patients may not…

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Autologous Breast Reconstruction: DIEP Flaps

Autologous breast reconstruction involves the use of the patient’s own body tissue (skin and fat) to reconstruct the breasts. The lower abdominal tissue is often the most frequently used autologous tissue donor site. Patients can undergo either immediate reconstruction following mastectomy or delayed reconstruction following mastectomy. When patients are not likely to need radiation following mastectomy, it is often better…

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DIEP Flap Breast Reconstruction

Your Breast Reconstruction Options After Radiation The lower abdomen is traditionally used as the donor site for reconstruction following mastectomy when the remaining skin and subcutaneous tissue has been damaged by radiation. Not all patients respond to radiation in the same way. Some patients may receive lower doses of radiation and show significant signs of radiation damage and others may…

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Silicone Breast Implant Reconstruction

Breast reconstruction following mastectomy can be challenging for both the patient and surgeon. Breast reconstruction can be performed immediately following mastectomy or can be performed in a delayed fashion where a patient undergoes a mastectomy in one procedure and then implant or autologous tissue reconstruction in another procedure. I typically educate patients who undergo reconstruction with tissue expanders or implants…

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