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Removal of Mammary Prosthesis and Breast Lift

Removal of Mammary Prosthesis and Breast Lift

Breast cancer reconstruction and aesthetic breast surgery share many similar principles. Removing breast implants and performing a breast lift (mastopexy) is a common procedure and may be a component of breast cancer treatment. In a patient with significant breast ptosis who undergoes a mastectomy for breast cancer, the nipple areola complex cannot often remain viable nor can it reliably be…

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Bilateral DIEP Flap Breast Reconstruction

Bilateral DIEP Flap Breast Reconstruction

Breast cancer reconstruction can be challenging for the Plastic & Reconstructive surgeon as well as the patient. In the patient with “ptotic” breasts, where the nipple areola complex is significantly below the inframammary fold or breast crease, the nipple cannot be safely kept during a mastectomy based on significant impairment in blood supply. In these cases, when the nipple is…

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Implant Removal, Mastopexy, and Oncoplastic Closure of Lumpectomy Defects

Implant Removal, Mastopexy, and Oncoplastic Closure of Lumpectomy Defects

Breast cancer can be treated with lumpectomy. The same patterns that are used for a mastopexy (breast lift) can be used to facilitate breast cancer treatment. If a cancer lies outside of traditional patterns, then the breast lift pattern can be modified to remove the skin above the tumor when necessary. One component of breast cancer treatment for lumpectomy is…

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DIEP Flap Breast Reconstruction

DIEP Flap Breast Reconstruction

Breast cancer reconstruction is one of the most challenging aspects of Plastic & Reconstructive Surgery. The surgery often involves an oncologic component that requires close attention and may require chemotherapy before and/or after surgery that needs to be completed in a timely manner. The DIEP flap uses microvascular soft tissue transplantation to transfer the skin and fat from the abdomen…

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Bilateral Mastectomy Breast Reconstruction with DIEP Flap

Bilateral Mastectomy Breast Reconstruction with DIEP Flap

Mastectomy Breast Reconstruction is challenging. Mastectomy reconstruction in some patients can involve using the patient’s own tissue rather than implants for breast reconstruction. In the DIEP flap breast reconstruction, the lower abdominal tissue that is usually discarded in a tummy tuck is used to reconstruct the breast. The deep inferior epigastric artery and vein provides the blood supply to the…

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