Breast reconstruction following mastectomy can be performed with tissue expanders and implants. In some cases, patients do not want to have their breast reconstructed with implants and we can use the skin and fat from the abdomen to reconstruct the breast. In some patients the DIEP flap can be completed at the time of the mastectomy depending upon the size…
Many breast cancer patients have been treated with lumpectomy and radiation therapy. In some patients, the lumpectomy defect and the whole breast radiation can cause significant changes or deformities to the breast. In the before and after photograph shown, the patient had previous right breast cancer treated with lumpectomy and radiation. The lumpectomy defect as well as the whole breast…
Upper eyelid blepharoplasty surgery is an effective procedure to allow the face to appear more youthful. In both men and women who undergo upper eyelid blepharoplasty surgery, the patient will state that even their close friends and family members can not tell that they had any surgery. This is a good sign. Most patients state that their friends and family…
When the mastectomy has been radiated and there is either a tissue expander or implant beneath the radiated pocket, a capsular contracture can develop which displaced the implant to a more superior location. When an implant reconstruction is not possible or favorable secondary to the radiation, then the breast can be reconstructed with a DIEP flap. In a DIEP flap…
One of the more powerful tools for body contouring is the abdominoplasty. During an abdominoplasty an incision is made along the lower abdomen. This incision is often at the location of a previous c-section scar or placed below. The skin is raised to the margins of the ribs. The rectus muscles are brought together in the midline of the abdomen.…
Bilateral upper blepharoplasty is a common procedure performed in our office with a high satisfaction rate. Patients who seek a bilateral upper blepharoplasty typically indicate that they have excess kin on their upper eyelids, and they may have difficulty putting on upper eyelid makeup. Removing the excess upper eyelid skin can have a significant impact to make the patient appear…
Rhinoplasty and airway surgery are some of my favorite procedures to perform. One common reason for patients to choose to undergo rhinoplasty is for nasal deviation. Nasal deviation is often corrected with nasal osteotomies to redirect the nasal bones into a different direction. Another common reason for patients to undergo rhinoplasty is to improve the appearance of the nasal tip.…
Unilateral or a single side mastectomy reconstruction can often be accomplished with a DIEP flap from the abdomen. When a unilateral mastectomy is performed it may be easier to match the non-cancer breast with skin and fat from the abdomen. This may be even more appropriate when the mastectomy has undergone radiation therapy. The radiated breast skin and tissue expander…
It was a great opportunity to present our experience with deep plane face lift procedures and follow-up over the past 10 years. The principles of fibula free flap mandibular reconstruction and skin cancer reconstruction of the face were helpful principles that could be applied to facial aesthetics. Over the 14 years that I have been in practice, I have taken…
Secondary mastopexy, or mastopexy in previously augmented breasts presents unique challenges due to compromised blood supply to the nipple areola complex. Magnetic Resonance imaging (MRI) with contrast can be used to facilitate pre-operative planning in both cosmetic cases and breast cancer patients. We had the opportunity to describe our experience using breast MRI in complicated aesthetic and reconstructive cases at…
