Implantand autologous breast reconstruction
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Implantand autologous breast reconstruction

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Implantand autologous breast reconstruction Presentation Transcript

  • 1. Implant and Autologous Breast Reconstruction
  • 2. 35 year old female BRCA1 positive who has elected to undergo bilateral prophylactic nipple sparing mastectomies and single stage breast reconstruction with silicone breast implants
  • 3. Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Inframammary Incision Using Alloderm and Silicone Breast Implants Before After
  • 4. Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Inframammary Incision Using Alloderm and Silicone Breast Implants Before After
  • 5. Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Inframammary Incision Before After
  • 6. 43 year-old S/P B/L Mastectomies Undergoing Expansion 290 cc /350 cc Expander
  • 7. Completion of Expansion at 2.5 months
  • 8. Completion of Expansion at 2.5 months
  • 9. 8 Months After Completion of Expansion  Patient had post-operative chemotherapy till three months after completion of expansion followed by completion of left chest wall irradiation for three months.
  • 10. 6 Weeks After Completion of 2nd Stage Reconstruction
  • 11. 6 Weeks After Completion of 2nd Stage Reconstruction
  • 12. 6 Weeks After Completion of 2nd Stage Reconstruction
  • 13. Secondary Breast Reconstruction  53 year old female with history of bilateral subpectoral silicone implants placed after bilateral mastectomies 20 years ago.  Patient presents now with bilateral ruptured silicone implants
  • 14. Pre-op Photos
  • 15. Pre-op Photos
  • 16. Six Weeks S/P B/L Capsulectomies, Removal of Implants, Placement of 250 cc Mod Plus Gel Implants
  • 17. Six Weeks S/P B/L Capsulectomies, Removal of Implants, Placement of 250 cc Mod Plus Gel Implants
  • 18. 3 Months Post-op
  • 19. 3 Months Post-op
  • 20. 53 year-old female with ruptured right breast silicone implant who had b/l capsulectomies, exchange of implants from subglandular to submuscular position, left breast scar revision 6 Weeks Post-op
  • 21. 53 year-old female with ruptured right breast silicone implant who had b/l capsulectomies, exchange of implants from subglandular to submuscular position, left breast scar revision
  • 22. Bilateral Pedicled TRAM  49 year-old female with history of bilateral mastectomes and radiation to left chest and axilla, right tissue expander presents for Bilateral Pedicled TRAM Flaps
  • 23. Pre-op Photos
  • 24. Pre-op Photos
  • 25. 8 Weeks Post-op Photos
  • 26. 8 Weeks Post-op
  • 27. 8 Weeks Post-op
  • 28. 8 Months Post-op
  • 29. 8 Months Post-op
  • 30. 62 year old female with history of right breast reconstruction who presents with ruptured right breast silicone implant and capsular contracture Before After
  • 31. Capsulectomy, Exchange of Implants
  • 32. Capsulectomy, Exchange of Implants
  • 33. Nipple Reconstruction