1. Breast Reconstruction:
Tissue Expander Based
Reconstruction
Michael J Bass, MD, JD
Plastic Surgeon
www.drmichaeljbass.com
Michael J Bass Plastic Surgery,
PLLC

2. Premastectomy Evaluation
► 40 year old female
status post right breast
lumpectomy for DCIS
► Tested BRCA-1 (+)
► Mother died at age 60
(ovarian CA)
► Status post pan
hysterectomy
3/31/2010

3. Preoperative Counseling
► Patient counseled ► After weighing all
on implant based the pros and cons
reconstruction of each, patient
versus autologous decides on implant
based based
reconstruction reconstruction

4. Immediate Reconstruction at Time of
Bilateral Mastectomies with Tissue
Expanders and Acellular Dermal
Matrix
4/15/2010

5. Maximal Expansion to 800 cc’s
6/1/2010

6. Post TE Removal, Permanent
Implant Placement 700 cc’s
7/21/2010
Original mastectomy scar used
every time for reentry to breast
pockets; no new incisions used

7. Left Capsulotomy, IMF Lowering
10/25/2011

8. Right Capsulotomy
1/21/2011

9. Bilateral Nipple Reconstruction:
Modified Skate Flaps
3/10/2011
Foam protectors around reconstructed
nipples

10. Bilateral Areolar Tattooing
11/15/2011

11. Pre and Post Reconstruction
3/31/2010 – 12/9/2011: 20 months (618 days), 6 surgeries

12. Michael J Bass, MD, JD
Plastic Surgeon
www.drmichaeljbass.com