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Breast Reduction Surgery

Breast Reduction Surgery

Breast reduction is a common procedure with a high satisfaction rate. There are many reasons why a patient would choose to undergo a breast reduction. The more common reasons tend to be neck, back, and shoulder pain from the weight of the breasts pulling down on these anatomic structures. Other common reasons are difficulty exercising and rashes in the breast…

Latissimus Dorsi Myocutaneous Flap Reconstruction and Improved Mastectomy Skin

Latissimus Dorsi Myocutaneous Flap Reconstruction and Improved Mastectomy Skin

The latissimus myocutaneous flap is an effective flap to help close mastectomy defects or to improve the overall quality of the overlying mastectomy skin. One challenge with mastectomy breast reconstruction is the durability and quality of the mastectomy skin. Skin that has been radiated or skin that is thin is more prone to cellulitis, wound dehiscence, and other complications. When…

Breast Asymmetry

Breast Asymmetry

There are many reasons that patients can have breast asymmetry. Breast feeding can make one breast grow significantly larger than the other, radiation can make one breast contract, previous infections can shrink the breast volume, and surgery of the breast can affect development if surgery is performed at young age. Previous surgery, infection, and radiation can all cause the nipple…

Bilateral Mastectomy Breast Reconstruction

Bilateral Mastectomy Breast Reconstruction

Breast cancer reconstruction is a challenging component of Plastic & Reconstructive surgery. Breast cancer reconstruction is frequently performed in several stages. The first stage of reconstruction involves placing a tissue expander at the time of mastectomy. I usually prefer to place a minimal amount of volume of saline at the time of mastectomy as this often minimizes pain post-operatively. Minimal…

Lower Blepharoplasty Surgery

Lower Blepharoplasty Surgery

The lower blepharoplasty is a common procedure to help improve the appearance of the lower eyelid. Puffiness or fullness in the lower eyelids is often an inherrited trait with many patients saying that their parents had the same puffiness. The transconjunctival lower lid blepharoplasty is an effective way to improve the appearance of the lower eyelid. Most patients report looking…

Delayed Insertion of Mammary Prosthesis post Bilateral Mastectomy.

Delayed Insertion of Mammary Prosthesis post Bilateral Mastectomy.

Patients often treat breast cancer with lumpectomy and radiation. This can be a very successful manner to treat breast cancer. On occasion, these patients can get a recurrence of their breast cancer and require mastectomy for successful treatment. Chemotherapy or previous radiation can make placement of an implant at the time of mastectomy challenging as infection rates may be higher.…

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