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Breast Reconstruction

Closure of Lumpectomy Defect with Oncoplastic Techniques

Closure of Lumpectomy Defect with Oncoplastic Techniques

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…

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DIEP Flap Breast Reconstruction.

DIEP Flap Breast Reconstruction.

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…

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Oncoplastic Reconstruction Following Lumpectomy for Breast Conservation. Early Post-Operative Results. What to Expect?

Oncoplastic Reconstruction Following Lumpectomy for Breast Conservation. Early Post-Operative Results. What to Expect?

Patients who undergo lumpectomy have different options for breast reconstruction. In patients who have relatively larger breasts, smaller tumors, and who have breast ptotis may be able to have their tumor excised with a lumpectomy and their breast reconstructed with the same patterns that we use for a cosmetic mastopexy or breast reduction. It is quite common for patients to…

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Unilateral DIEP Flap Breast Reconstruction for Reconstructions Larger than 800 grams

Unilateral DIEP Flap Breast Reconstruction for Reconstructions Larger than 800 grams

Breast Reconstruction after mastectomy for breast cancer can be broken down into two main classifications: 1) Tissue Expander and Implant Reconstruction and 2) Autologous Tissue Reconstruction. In patients with larger breasts, the maximum size of a silicone gel mammary prosthesis is 800 cc. Often in mastectomy specimens weighing more than 800 grams, the implant is not sufficient to fill the…

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DIEP Flap Breast Reconstruction, to Replace Medial Breast Skin Following Mastectomy

DIEP Flap Breast Reconstruction, to Replace Medial Breast Skin Following Mastectomy

Breast reconstruction in the radiated patient is different than in patients who have not received radiation. Patients who have undergone lumpectomy and radiation or patients who have undergone mastectomy and then radiation typically have a tight skin envelope. At times the skin envelope may be amenable to a breast implant reconstruction. Other times, the skin envelope results in a capsular…

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Breast Reconstruction following Lumpecomy & Radiation

Breast Reconstruction following Lumpecomy & Radiation

Reconstruction following lumpectomy can be challenging and even more so in the setting of radiation therapy. Radiation and implant reconstructions can often cause capsular contracture. When one mammary prosthesis has capsular contracture and the other does not, obtaining symmetry can be quite challenging. In patients who have repeated capsular contracture, it is often best to remove the mammary prosthesis and…

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