Breast Reconstruction after mastectomy for breast cancer can be broken down into two main classifications: 1) Tissue Expander and Implant Reconstruction and 2) Autologous Tissue Reconstruction. In patients with larger breasts, the maximum size of a silicone gel mammary prosthesis is 800 cc. Often in mastectomy specimens weighing more than 800 grams, the implant is not sufficient to fill the…
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…
