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Expander-Implant Reconstruction

Unilateral Mastectomy Nipple Removing and Reconstruction

Unilateral Mastectomy Nipple Removing and Reconstruction

One of the more common questions that comes up during a mastectomy reconstruction– “Should I save my nipple or should I have it removed during the mastectomy”. There are oncologic, anatomic, aesthetic, and psychological reasons to remove the nipple areola complex. It is important to understand that after a mastectomy the nipple will not have sensation and will not function…

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Breast Art and Post-Implant Surgery in Today’s America

Breast augmentation has become a prevalent phenomenon in modern American society, reflecting evolving beauty standards and individual choices. The desire for enhanced physical appearance has led many individuals to opt for mammary implants, contributing to the complex and multifaceted world of breast art. This article delves into the content of breast art and its relationship with contemporary American culture, subsequently…

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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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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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Bilateral Mastectomy Breast Reconstruction with Tissue Expanders and Implants

Bilateral Mastectomy Breast Reconstruction with Tissue Expanders and Implants

There are many patients who choose to undergo bilateral mastectomy for breast cancer or prophylactically to prevent cancer when patients have a genetic predisposition. In patients who are not going to receive radiation the breast is amenable to reconstruction with tissue expanders and implants. The tissue expander is placed at the time of the mastectomy and only a small amount…

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Bilateral Mastectomy Breast Reconstruction with Inverted-T Skin Pattern

Bilateral Mastectomy Breast Reconstruction with Inverted-T Skin Pattern

Bilateral mastectomy breast reconstruction is common in patients who have BRCA gene positivity. Bilateral mastectomy is also common in patients who choose to undergo mastectomy and contralateral prophylactic mastectomy. When the breast is ptotic, defined by a nipple areola complex that descends below the level of the inframammary fold, the nipple areola complex cannot maintain a blood supply sufficient to…

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Bilateral Mastectomy Expander-Implant Breast Reconstruction.

Bilateral Mastectomy Expander-Implant Breast Reconstruction.

Breast cancer is common among women with approximately 1 in 9 women developing invasive breast cancer in the United States. When a patient chooses to undergo mastectomy, the patient may also choose to undergo mastectomy on the contralateral or opposite side of the breast that has breast cancer. This choice can be made because of a genetic predisposition to breast…

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Bilateral Mastectomy Breast Reconstruction with Tissue Expanders and Implants

Bilateral Mastectomy Breast Reconstruction with Tissue Expanders and Implants

Breast reconstruction can be a very rewarding aspect of a plastic and reconstructive surgeons practice. It can also be one of the most challenging aspects of the practice. In a mastectomy, the blood supply to the skin and the blood supply to the nipple areola complex are removed. Then, the breast is reconstructed with a foreign silicone object, which is…

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Secondary Mastectomy Reconstruction

Secondary Mastectomy Reconstruction

There are several occasions where patients come to our practice and they have previously undergone a mastectomy reconstruction, but would like to improve the appearance of their reconstruction. Common reasons for wanting to improve the appearance of their reconstruction is thin skin, with waviness and rippling of the implant, asymmetry of the reconstructed breast volume or position, and capsular contracture.…

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Tissue Expander and Implant Reconstruction Post-Mastectomy

Tissue Expander and Implant Reconstruction Post-Mastectomy

Tissue expander and implant reconstruction can be accomplished at a later stage following mastectomy surgery. When the mastectomy reconstruction is performed at a later time, the term used is a “delayed reconstruction”.  During a delayed reconstruction, the mastectomy defect is re-created and often a tissue expander is placed beneath the skin and or pectoralis major muscle. The skin is then…

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