Breast reconstruction is a challenging aspect of plastic and reconstructive surgery. Mastectomy reconstruction involves re-creating the breast when skin is thin and devitalized and or radiated from the mastectomy surgery. When a breast implant becomes exposed after mastectomy reconstruction the patient and surgeon are faced with a challenging problem. The implant can become exposed from poor quality of the mastectomy…
Breast reconstruction can be a very rewarding aspect of a plastic and reconstructive surgeons practice. It can also be one of the most challenging aspects of the practice. In a mastectomy, the blood supply to the skin and the blood supply to the nipple areola complex are removed. Then, the breast is reconstructed with a foreign silicone object, which is…
There are several occasions where patients come to our practice and they have previously undergone a mastectomy reconstruction, but would like to improve the appearance of their reconstruction. Common reasons for wanting to improve the appearance of their reconstruction is thin skin, with waviness and rippling of the implant, asymmetry of the reconstructed breast volume or position, and capsular contracture.…
When patients choose to undergo lumpectomy and when the cancer resides outside of the standard Wise mastopexy pattern, the pattern is sometimes adjusted to remove the skin above the tumor. This will help the oncologic surgeon remove the skin above the tumor and help to clear the anterior margin. When the incisions are sutured closed the final suture placed is…
