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Mastopexy-Augmentation. Making the breast larger and improving the position of the breast and nipple areola complex.

Mastopexy-Augmentation. Making the breast larger and improving the position of the breast and nipple areola complex.

Mastopexy-augmentation is a helpful procedure to increase the size of the breast as well as lift the nipple areola complex and put the breast in a higher position on the chest wall.  In a mastopexy-augmentation, the size and position of the nipple areola complex can be controlled with the inverted T incision pattern. The implant can be placed in a…

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Lower Face and Neck Lift Surgery

Lower Face and Neck Lift Surgery

The lower face and neck lift is an effective procedure to rejuvenate the appearance of the neck.  Patients have neck redundancy because of excess skin, lax platysma muscle, or excess fat of the neck. The lower face and neck lift can address all three of these and improve the appearance of the neck.

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Capsular Contracture and Radiation Post Lumpectomy.

Capsular Contracture and Radiation Post Lumpectomy.

Breast cancer is often treated with lumpectomy and radiation therapy. Without an implant, lumpectomy and radiation is often tolerated very well. When an implant is positioned in the radiated pocket, there is a higher incidence of capsular contracture. Capsular contracture is an exaggerated response of the body’s healing system. When an implant is placed in the body, a lining or…

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Removal of Bilateral Implants and Mastopexy, A Step-Wise Sequence to Mastectomy.

Removal of Bilateral Implants and Mastopexy, A Step-Wise Sequence to Mastectomy.

There are many different ways to successfully treat or prevent breast cancer in genetically susceptible individuals. In some patients, one of the first steps is to create the best possible shape of the breast for a future mastectomy. In some patients, implants are removed and a mastopexy is performed to place the nipple areola complex in a higher and more…

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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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Oncoplastic Reconstruction of Lumpectomy Defects. Healing Phases and Early Post-Operative Results.

Oncoplastic Reconstruction of Lumpectomy Defects. Healing Phases and Early Post-Operative Results.

When patients choose to undergo lumpectomy and when the cancer resides outside of the standard Wise mastopexy pattern, the pattern is sometimes adjusted to remove the skin above the tumor. This will help the oncologic surgeon remove the skin above the tumor and help to clear the anterior margin. When the incisions are sutured closed the final suture placed is…

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Capsular Contracture Surgery Staged Reconstruction

Capsular Contracture Surgery Staged Reconstruction

Capsular contracture can be a challenging problem for patients and surgeons. Often correcting a chronic capsular contracture may require a staged procedure to most effectively treat the problem. When a capsular contracture is recurrent, it is often best to remove the implants for approximately one year prior to placing the implants back into position. Removing the mammary prosthesis and changing…

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