There are many patients who choose to undergo bilateral mastectomy for breast cancer or prophylactically to prevent cancer when patients have a genetic predisposition. In patients who are not going to receive radiation the breast is amenable to reconstruction with tissue expanders and implants. The tissue expander is placed at the time of the mastectomy and only a small amount…
Bilateral mastectomy breast reconstruction is common in patients who have BRCA gene positivity. Bilateral mastectomy is also common in patients who choose to undergo mastectomy and contralateral prophylactic mastectomy. When the breast is ptotic, defined by a nipple areola complex that descends below the level of the inframammary fold, the nipple areola complex cannot maintain a blood supply sufficient to…
Breast augmentation is a common aesthetic procedure performed in our practice. The most commonly used implant is a smooth silicone gel implant. There are several options for the incision choice in breast augmentation with silicone gel implants. The three choices are inframammary crease, periareaolar, and transaxillary. There are different benefits to each incision. It is helpful to select an implant…
Mastopexy and abdominoplasty are a very powerful combination of procedures. Mastopexy involves lifting the nipple areola complex and some component of the parenchyma of the breast. Often a mastopexy may involve removing the lateral aspect of the breast tissue or “bra fat” to improve the contour of the breast. The mastopexy markings involve determining the position of the nipple areola…
