Breast reconstruction in the radiated patient is different than in patients who have not received radiation. Patients who have undergone lumpectomy and radiation or patients who have undergone mastectomy and then radiation typically have a tight skin envelope. At times the skin envelope may be amenable to a breast implant reconstruction. Other times, the skin envelope results in a capsular…
Breast augmentation is a common procedure. There are several different incision choices when performing breast augmentation. There is a large advantage to the transaxillary incision. The transaxillary incision is well hidden in the armpit and there is no visible scar on the breast or chest wall. The transaxillary incision requires more care in the post-operative period. The armpits need to…
It is common for many women to want to have their implants removed. Often when patients want to have their implants removed, the breasts are already ptotic. The breast can be lifted following the removal of the breast implant. The most commonly used lift pattern is called the Wise pattern or T-lift. The T-lift allows the nipple areola complex to…
Hernias a common. They can occur from a defect at birth or can be from a previous surgery. The goal when repairing hernias is to restore the abdominal wall to its normal state of anatomy. Often, this coincides with normal muscle function. Hernias that protrude through the rectus muscle are often best repaired by separating the components of the rectus…