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Breast Reconstruction

Oncoplastic Reconstruction of Lumpectomy Defects and Radiation Therapy

Oncoplastic Reconstruction of Lumpectomy Defects and Radiation Therapy

Lumpectomy and radiation are a reasonable method to treat many breast cancers. The goals after lumpectomy are to get all of the wounds healed by six weeks so that the patient can proceed to radiation in a timely manner. The skin often tolerates radiation well after lumpectomy. The more intact and heartier the blood supply to the skin, the better…

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Mastectomy Breast Reconstruction with Tissue Expanders and Implants

Mastectomy Breast Reconstruction with Tissue Expanders and Implants

There are several ways to reconstruct the breast after mastectomy. In patients who do not require radiation there are several options available for breast reconstruction. One of the more common methods of breast reconstruction is to place a tissue expander at the time of the mastectomy and have the skin heal appropriately. Once the skin has healed without any additional…

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DIEP flap for Autologous Breast Reconstruction Following Mastectomy

DIEP flap for Autologous Breast Reconstruction Following Mastectomy

There are several ways for a Plastic & Reconstructive surgeon to reconstruct the breast. One common way to reconstruct the breast is with an autologous tissue reconstruction of the breast with tissue from the lower abdomen. When we reconstruct the breast with the patient’s own body tissues, we call this an autologous breast reconstruction. In an autologous breast reconstruction, the…

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Left Breast DIEP Flap Revision. Correction of Mastectomy Symmastia and Implant Augmentation of DIEP Flap

Left Breast DIEP Flap Revision. Correction of Mastectomy Symmastia and Implant Augmentation of DIEP Flap

Mastectomy surgery and breast reconstruction are challenging. Depending upon the size of a tumor, the location of the tumor, and patient comorbidities the blood supply to the nipple areola complex can be compromised as well as the mastectomy skin. Occasionally, during a mastectomy, the midline of the chest can be inadvertently crossed, and the reconstruction can result in a symmastia. …

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Implant Reconstruction following Bilateral Mastectomy

Implant Reconstruction following Bilateral Mastectomy

Breast reconstruction is a challenging specialty in plastic and reconstructive surgery. Not only does the patient and reconstructive surgeon have to contend with a foreign object of the mammary prosthesis, but also chemotherapy and radiation which can make the reconstructive process more challenging.  The photograph demonstrates before and after implant reconstruction of bilateral mastectomy defects with bilateral mammary prosthesis. The…

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Right Breast Reconstruction Following Mastectomy with DIEP Flap, Deep Inferior Epigastric Artery Perforator Flap

Right Breast Reconstruction Following Mastectomy with DIEP Flap, Deep Inferior Epigastric Artery Perforator Flap

In the ptotic patient and when the patient would like to have an autologous reconstruction, it is helpful to reconstruct the breast with an inverted-T skin pattern. The photograph demonstrates before and after breast reconstruction with a Deep Inferior Epigastric Artery Perforator Flap. The left breast underwent mastopexy reduction to set a new goal position to match. The right breast…

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Left Breast Reconstruction with DIEP Flap to Reconstruct the Breasts when Implants are not an Option

Left Breast Reconstruction with DIEP Flap to Reconstruct the Breasts when Implants are not an Option

After mastectomy, the breast can be reconstructed with implants or with the patient’s own tissue. When we reconstruct the breast with the patient’s own tissue, we use the term autologous breast reconstruction. Reconstruction with the patient’s own tissue is helpful in cases where radiation was required after mastectomy or in situations where implants became infected at any time after a…

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