DIEP flaps are excellent options for breast reconstruction in patients who have undergone radiation therapy. Often the skin above the tumor needs to be resected during a mastectomy and an oncoplastic mastectomy is completed to facilitate clearing an anterior margin. When tissue expanders are placed and then radiated, the tissue expander can be affected by capsular contracture forces around the…
Patients who have breast cancer may be a candidate for lumpectomy and intra-operative radiation therapy. The intra-operative radiation therapy is completed at the time of the lumpectomy and the lumpectomy defect is closed. The aesthetic outcome following this type of oncologic resection and reconstruction can have a great outcome.
Bilateral mastectomy is often reconstructed with tissue expanders and breast implants. The tissue expander is inserted at the time of the mastectomy and the skin is allowed to heal and more oncologic information is gathered. Once the mastectomy skin has healed, saline is placed in the tissue expander to gradually expand the skin. The expanded skin is allowed to settle…
Breast augmentation is a procedure with a high patient satisfaction rate. There are two different implant options for breast augmentation. Patients can either select from silicone or saline mammary prosthesis. Patients can have saline breast reconstruction with excellent results.
Breast augmentation is one of the more common aesthetic procedures performed and patients tend to be very happy with the procedure. The most common implants selected tend to be silicone gel implants. Silicone gel implants tend to be associated with less rippling and tend to be lighter. The recovery for breast augmentation is typically about 4 weeks before patients can…
Facelift surgery is one of my favorite surgeries to perform. In general the lower face and neck-lift operation is a procedure performed under general anesthesia to relax the muscles of the neck that are to be tightened. After the surgery the patient will stay overnight one night in the surgery center to adequately control blood pressure, pain, and nausea. There…
Breast augmentation is a procedure with a high patient satisfaction rate. There are two different implant options for breast augmentation. Patients can either select from silicone or saline mammary prosthesis. Patients can have saline breast reconstruction with excellent results.
Capsular contracture can be a challenging problem for patients and surgeons. Often correcting a chronic capsular contracture may require a staged procedure to most effectively treat the problem. When a capsular contracture is recurrent, it is often best to remove the implants for approximately one year prior to placing the implants back into position. Removing the mammary prosthesis and changing…
Reconstructing the dorsum of the nose can be a challenging part of airway reconstruction or rhinoplasty. The nasal dorsum can require reconstruction when there has been previous trauma or when their has been previous corrective surgery to the nose. When the nasal dorsum has irregularities or when the airway is compromised, spreader grafts are needed to either open up the…
Facelift and necklift operations can be extremely rewarding for the patient and the physician. Patients who are great candidates for facelift operations state that they feel young but that they notice that their facial appearance is not congruent with how they feel. These patients are excellent candidates for facelift operations. The facelift operation takes approximately 4-5 hours and patients typically…
Mastopexy operations are common operations. Often a mastopexy can be done to lift the breast into a more youthful position. The mastopexy can also be performed to put the nipple areola complex in a more youthful position prior to undergoing a mastectomy operation. In patients who are ptotic, the nipple areola complex can not be elevated in one stage during…
When a patient undergoes a bilateral mastectomy, there can be several different options for breast reconstruction. One option is to reconstruct the breast with mammary prosthesis or breast implants. In patients who are not going to undergo radiation therapy implant reconstruction can be a viable option for breast reconstruction. In an implant reconstruction, often a tissue expander is placed first…
