There are different ways that the buttocks or gluteal region can be augmented. One common way is gluteal fat transfer. In these cases, liposuction is performed in areas of the body that have excess deposits of fat. After the fat is removed, the fat is transferred to the buttocks to augment their projection and/or shape. The typical harvest sites tend…
Patients who have breast implants schedule consultations wishing to undergo changes to their breast implants or mammary prosthesis. One common request is to downsize their breast implants. The first step is to determine their current bra size and to determine the volume of the mammary prosthesis that they have in place. Once these are determined, the patient and physician can…
It is common for patients to present with breast cancer or ductal carcinoma in situ and to also have implants in place at the time of diagnosis. Depending upon the stage of breast cancer and the size of the breast, the patient may choose to undergo lumpectomy. Often, a mastopexy pattern can be utilized to remove the breast cancer or…
There can be different ways in which the physician and patient can manage breast cancer or ductal carcinoma in situ of the breast. The patient and oncologic surgeon or team of physicians may choose lumpectomy, or, conversely they may choose mastectomy. If a patient chooses a lumpectomy, the patient and reconstructive team can often reconstruct the breast with the patient’s…
There are several ways to reconstruct a breast following mastectomy. One option is to use tissue expanders and implants (saline or silicone) and the other option is to use ones own body tissue or what is often called autologous reconstruction. One of the most commonly used sites for autologous reconstruction is the lower abdomen. The lower abdomen is often…
Lumpectomy Defects of the breast can be treated with oncoplastic reconstructive techniques to improve contour following resection. The same principles used for mastopexy and reduction techniques can be used to improve upon the appearance of the breast following the resection of a breast tumor. The recovery following these procedures tends to be standard. The first week following surgery consists of…
Hernia repairs are common. Larger hernias often require the repositioning of the rectus abdominus muscles to place the muscles back into anatomic position. When the rectus muscles are relocated this can often prevent the use of mesh to repair the hernia. In some cases mesh is necessary in addition to repositioning of the abdominal musculature. In patients with previous abdominal…
The deep inferior epigastric artery perforator flap is an option for breast reconstruction in those patients who do not want to undergo reconstruction with breast implants. There are several reasons why patients do not want to undergo reconstruction with breast implants and would prefer to undergo reconstruction with their own body tissue. Reconstruction of the breast with one’s own body…
Central breast tumors can be common. Central breast tumors are those tumors that lie directly behind or in close proximity to the nipple areola complex. Patients often have questions or concerns regarding the appearance of the breast mound after the nipple areola complex has been removed. What determines when the nipple areola complex will be removed is how close the…
Breast cancer is common. In patients who have relatively larger breasts and smaller tumors, there may be several different options to treat the breast cancer from an oncologic perspective and there may be different options for reconstruction. Patients who are candidates for breast conservation therapy tend to be patients who have smaller tumors relative to the overall size of the…
