DIEP flap breast reconstruction is helpful to reconstruct the breast when there has been previous tissue expander or implant infection. When the mastectomy defect is reconstructed with DIEP flaps the patients own body tissue is used. This is called an autologous breast reconstruction. The primary source of tissue to reconstruct the breast is the tissue from the lower abdomen. This…
Breast reduction surgery is often associated with a high patient satisfaction rate. Typically patients who wish to undergo breast reduction surgery have had symptoms of neck, back, or shoulder pain. There is often grooving in the shoulder from the bra straps and there is hypertrophy of the trapezius muscles. The large breasts can often get in the way of exercise…
Synmastia occurs when breast implants migrate to the center of the chest and cross the midline or when the two breast implant pockets join together. Correction of synmastia is challenging and often requires significant changes to the implant pocket and or change of plane of the mammary prosthesis in order to correctly re-position the breast implants on the chest wall.…
One of the more common aesthetic procedures in young patients to improve or restore a more youthful appearance to the face is submental liposuction. There are plenty of people who tend to store fat in the area beneath there chin or submental region. Often the fat in this region of the body is the last place for fat to be…
Rhinoplasty can be a rewarding procedure for both the rhinoplasty surgeon and the patient. Providing a natural aesthetic result is helpful to improve the appearance of the nose but to also maintain certain aspects of the nose the person was born with. Careful pre-operative planning and discussions between the surgeon and the patient can facilitate communication and help the patient…
Rhinoplasty and blepharoplasty are common procedures that can be done to improve the aesthetic appearance of the face. These procedures can be performed at separate different times or during the same procedure. The two procedures can have very significant impact on creating a youthful appearance to the face. Blepharoplasty procedures are commonly performed when patients are in the age range…
When breast cancers are located close to the skin surface, it is often helpful to remove the skin above the tumor during surgery for wire directed segmental resection. When the tumor is located outside of the standard Wise-mastopexy pattern, the pattern is adjusted to remove the skin over the breast cancer.
Tumors of the breast that are located superior to the areola within a certain distance can be removed with bilateral crescent mastopexy incisions. These incisions are placed superior to the areola and in a crescent pattern. The resulting scar ends in the superior portion of the areola and the nipple is positioned in a higher position relative to the previous…
There are a subset of patients who have undergone implant reconstruction following mastectomy and who choose to have their implants removed and their breasts reconstructed with DIEP flaps. The deep inferior epigastric artery perforator flap uses the skin and/or fat from the lower abdomen to reconstruct the breast. This flap is helpful to reconstruct the upper pole of the breast…
Rhinoplasty healing takes several months to years to reach the final result. While patients can often appreciate their side profile result within a few weeks after surgery, it takes at least one year for the subtle contours to appear on the nose. The initial changes in rhinoplasty swelling occur in about 6-8 weeks post rhinoplasty and then monthly up to…
