This document discusses options for breast reconstruction after mastectomy for breast cancer. It describes implant-based reconstruction using tissue expanders and implants, autologous tissue-based reconstruction using the patient's own tissue like muscles or fat, and oncoplastic breast surgery which reshapes the breast during cancer removal. The goals are to restore the breast and improve body image, with many options available tailored to individual patient needs and goals.
From Breast Lifts (mastopexy) to Breast Reduction (mammoplasty) to Breast Reconstruction, Dr. Gilbert Lee shares before and after images of actual Changes Plastic Surgery Patients. Dr. Lee uses various techniques such as DIEP, TRAM Flap and fat grafting in breast reconstruction. Some breast lift patients have also chosen to have breast implants, others a straight lift. Breast reduction patients are among some of Dr. Lee's happiest patients for the physical relief and increased self esteem they experience.
Oncoplastic Breast surgery is simultaneous application of lumpectomy and reconstructive techniques. The word ‘oncoplastic’ is derived from the Greek words ‘onco’ (tumour) and ‘plastic’ (to mould).
Approximately 10% to 30% of patients submitted to BCS alone are not satisfied with the aesthetic outcomes like “swan beak/ parrot beak deformities. The main reasons are related this is the tumour resection which can produce asymmetry, retraction, and volume changes in the breast.
Recently, increasing attention has been focused on oncoplastic procedures since the immediate application of plastic breast surgery techniques provide a wider local excision while still achieving the goals of a better breast shape and symmetry to obtain oncologically sound and aesthetically pleasing results. Thus, by means of customized techniques the surgeon ensures that oncologic principles are not jeopardized while meeting the needs of the patient from an aesthetic point of view.
This surgery is also known as lumpectomy, partial or segmental mastectomy.
It is a type of surgery for breast cancer to remove cancer or other abnormal tissue from your breast
for more details visit our website www.cancer-treatment-madurai.com
From Breast Lifts (mastopexy) to Breast Reduction (mammoplasty) to Breast Reconstruction, Dr. Gilbert Lee shares before and after images of actual Changes Plastic Surgery Patients. Dr. Lee uses various techniques such as DIEP, TRAM Flap and fat grafting in breast reconstruction. Some breast lift patients have also chosen to have breast implants, others a straight lift. Breast reduction patients are among some of Dr. Lee's happiest patients for the physical relief and increased self esteem they experience.
Oncoplastic Breast surgery is simultaneous application of lumpectomy and reconstructive techniques. The word ‘oncoplastic’ is derived from the Greek words ‘onco’ (tumour) and ‘plastic’ (to mould).
Approximately 10% to 30% of patients submitted to BCS alone are not satisfied with the aesthetic outcomes like “swan beak/ parrot beak deformities. The main reasons are related this is the tumour resection which can produce asymmetry, retraction, and volume changes in the breast.
Recently, increasing attention has been focused on oncoplastic procedures since the immediate application of plastic breast surgery techniques provide a wider local excision while still achieving the goals of a better breast shape and symmetry to obtain oncologically sound and aesthetically pleasing results. Thus, by means of customized techniques the surgeon ensures that oncologic principles are not jeopardized while meeting the needs of the patient from an aesthetic point of view.
This surgery is also known as lumpectomy, partial or segmental mastectomy.
It is a type of surgery for breast cancer to remove cancer or other abnormal tissue from your breast
for more details visit our website www.cancer-treatment-madurai.com
Breast Conserving Surgery in Hyderabad | Breast Cancer Treatment in HyderabadYashodaHospitals
Breast-conserving Surgery is also known as lumpectomy or partial lumpectomy, it is a procedure to remove the cancer from the breast and some normal tissue. BCS involves only the part of the breast that has cancer to be removed. BCS is a good option for many women with early-stage cancers. Usually after BCS, radiation therapy is given to destroy cancer cells that may not have been removed during surgery. In some cases, chemotherapy and radiation are both given after BCS.
Who is BCS recommended for?
Not all women with breast cancer are candidates for BCS. However, speak to a doctor to find out whether BCS is an option for you.
BCS might be a good option for the below reason:
1. If the tumor is small and localized.
2. If you are eligible for radiation therapy
3. Do not have inflammatory breast cancer
4. Are not pregnant or, if pregnant, will not need radiation therapy immediately.
5. Do not have a mutation linked to breast cancer.
6. Do not have serious connective tissue diseases such as scleroderma or lupus.
Breast cancer Reconstruction Surgery- Breast cancer Reconstruction procedures provides correction of the absence or abnormality of the breast for whatever reason - be it cancer, infection, trauma or congenital.
Breast Conserving Surgery in Hyderabad | Breast Cancer Treatment in HyderabadYashodaHospitals
Breast-conserving Surgery is also known as lumpectomy or partial lumpectomy, it is a procedure to remove the cancer from the breast and some normal tissue. BCS involves only the part of the breast that has cancer to be removed. BCS is a good option for many women with early-stage cancers. Usually after BCS, radiation therapy is given to destroy cancer cells that may not have been removed during surgery. In some cases, chemotherapy and radiation are both given after BCS.
Who is BCS recommended for?
Not all women with breast cancer are candidates for BCS. However, speak to a doctor to find out whether BCS is an option for you.
BCS might be a good option for the below reason:
1. If the tumor is small and localized.
2. If you are eligible for radiation therapy
3. Do not have inflammatory breast cancer
4. Are not pregnant or, if pregnant, will not need radiation therapy immediately.
5. Do not have a mutation linked to breast cancer.
6. Do not have serious connective tissue diseases such as scleroderma or lupus.
Breast cancer Reconstruction Surgery- Breast cancer Reconstruction procedures provides correction of the absence or abnormality of the breast for whatever reason - be it cancer, infection, trauma or congenital.
The normal breast consists of milk-producing glands that are
connected to the surface of the skin at the nipple by narrow
ducts. The glands and ducts are supported by connective tissue
made up of fat and fibrous material. Blood vessels, nerves, and
lymphatic channels to the lymph nodes make up most of the
remaining breast tissue.
The normal breast consists of milk-producing glands that are
connected to the surface of the skin at the nipple by narrow
ducts. The glands and ducts are supported by connective tissue
made up of fat and fibrous material. Blood vessels, nerves, and
lymphatic channels to the lymph nodes make up most of the
remaining breast tissue.
Asvins Hospitals: Advancements in Breast Surgery30SecsRingtones
Welcome to "Asvins Hospitals: Advancements in Breast Surgery," a comprehensive presentation that explores the cutting-edge breast surgery procedures and patient care offered by Asvins Hospitals.
Discover the latest innovations in breast surgery, including breast cancer surgery, breast reconstruction, breast reduction, and breast augmentation, all performed with precision and compassion by our expert surgical team.
Learn about our patient-focused approach, emphasizing early detection and tailored treatment plans. Explore the surgical process, post-operative care, and the role of patient testimonials in highlighting our commitment to excellence.
Whether you're a healthcare professional seeking insights into our advanced breast surgery techniques or a patient considering breast surgery options, this presentation sheds light on Asvins Hospitals' dedication to improving lives through the forefront of medical care.
Join us on a journey through the world of breast surgery at Asvins Hospitals, where medical expertise and patient well-being are at the heart of everything we do.
New Developments in Breast Reconstruction Surgerybkling
Deborah Axelrod, MD, of NYU Langone Perlmutter Cancer Center, and Rachel Bluebond-Langner, MD, of NYU Langone Medical Center discuss the latest research in autologous breast reconstruction, fat injection, pre-pectoral implants, and oncoplastic surgery.
Disclaimer: Graphic medical imagery.
Breast Reconstruction at Perimeter Plastic SurgeryDr. Mark Deutsch
After breast cancer survivors have endured a mastectomy, many choose to pursue breast reconstruction surgery to help enhance their natural beauty. Dr. Deutsch at Perimeter Plastic Surgery is one of the most accomplished breast reconstruction surgeons in the Southeast. In this presentation, Perimeter Plastic Surgery explains what Breast Reconstruction is and the different options patients have for their procedure.
Simply put this is a surgery performed to increase the size of the breasts. Brest is a common operation that involves the use of silicone implants inserted beneath the breast, to allow the breast to protrude further than its natural size allows. For more information, visit us on https://bit.ly/2FyCSUt
For women who would like larger breasts for cosmetic reasons, there is breast augmentation surgery, which places implants under the breast tissue or chest muscle to increase the breast size.
Changing With The Times
DIEP Flap: A More Effective Breast Reconstruction
BY DR. KENDALL R. ROEHL
“In 2016, an estimated 246,660 new cases of invasive breast cancer are expected to be diagnosed in women in the U.S.”
Interested in the mommy makeover? Learn all about the comprehensive cosmetic procedure from Chicago plastic surgeons Dr. David Dreyfuss and Dr. Jack Gelman. For more info visit http://www.dgplasticsurgery.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Understanding your options for breast reconstruction
1. 7/17/2018 Understanding your options for breast reconstruction | ASPS
https://www.plasticsurgery.org/news/blog/understanding-your-options-for-breast-reconstruction 1/5
AMERICAN SOCIETY OF
PLASTIC SURGEONS
News / Blog
ask a surgeon
Understanding your options for breast
reconstruction
Kent Higdon, MD & Christopher Tokin, MD | Nashville, TN Tuesday, January 09, 2018
In 1985, October of cially became breast cancer awareness month to support and promote
widespread use of mammography for breast cancer screening. Now, more than thirty years later,
with advances in technology and pharmaceuticals, we have seen dramatic improvements in breast
cancer detection and survival. Breast reconstruction after breast cancer treatment, in turn, has
evolved in concert with increasing breast conservation, and advances in microsurgical techniques
have allowed plastic surgeons the ability to offer a myriad of different reconstructive options for
optimal results.
2. 7/17/2018 Understanding your options for breast reconstruction | ASPS
https://www.plasticsurgery.org/news/blog/understanding-your-options-for-breast-reconstruction 2/5
Just as breast cancer treatment has become more individualized, options for reconstruction
acknowledge that goals for reconstruction for one patient may not be the optimal reconstruction
for another. For optimal care, education and access are priorities and cannot be taken for granted.
Even with the widespread use of internet searches and online communities, which serve as
invaluable sources of knowledge and shared experiences, it's more common than not for patients to
present with little to no knowledge of their reconstructive options or the timing of reconstruction as
it relates to therapy and recovery.
When we talk about breast reconstruction, we are often referring to reconstruction after
mastectomy for breast cancer. In 1995, breast reconstruction rates were reportedly as low as 8%.
We have seen that national average rise to somewhere around 60%, with bene ts of
reconstruction including improved body image, self-esteem, sexuality and quality of life. We have
attempted to brie y outline some of the most common reconstructive options and address
common questions and misconceptions below.
Implant-based reconstruction
Most patients choose to have implant-based reconstruction. In 2002, implants surpassed
autologous tissue as the more common reconstructive approach. In our hands, with new generation
silicone implants, aesthetic results are excellent. This approach usually, but not exclusively, starts
with a tissue expander placed partially or fully under the chest muscle and occurs in stages.
Options for well-selected patients can include immediate placement of the nal implant or
placement of the expander above the muscle (prepectoral) in conjunction with acelluar dermal
matrix. In general, the expansion occurs in the of ce over a period of weeks to months, followed by
a second stage with removal of the expanders and replacement with implants. This is often
combined with fat grafting, a method where liposuction is used to harvest fat for transplant to the
breast for improved symmetry and tissue coverage.
Nipple reconstruction can also be undertaken, techniques of which include the options of skin
grafting for areolar reconstruction, surgical reconstruction of the nipple mound and/or 3D
tattooing, all of which can give realistic and aesthetically pleasing results.
Autologous tissue-based reconstruction
The other option for total mastectomy reconstruction is autologous tissue-based reconstruction. In
other words, this technique is using one's own tissue for breast reconstruction. This traditionally
meant taking the back muscle (latissimus) or the abdominal muscle (TRAM) and rotating it with skin
and fat onto the chest to recreate the breast mound. With improvements in microsurgical
technique, tissue from nearly every part of the body can now be used for autologous
reconstruction.
3. 7/17/2018 Understanding your options for breast reconstruction | ASPS
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The principle behind all microsurgical breast reconstruction is similar; the tissue to be used for
breast reconstruction is isolated on its blood supply, and with the assistance of a microscope,
reconnected to blood vessels in the chest. The most common donor site is the abdomen, referred to
as DIEP (deep inferior epigastric perforator) breast reconstruction. This technique can be useful in
obtaining a more natural look, especially in scenarios where the breast is larger or the nipple is
lower hanging (ptotic). This technique often obviates the need to use an implant at all, and patients
often refer to it as a "natural" reconstruction, in both feel and appearance. Sometimes, we even
reconnect nerves to give sensation to the reconstructed breast with this method. It is also the
preferred modality in the setting of radiation, although the majority of patients that undergo
reconstruction with an implant have a good result.
The need for a donor site means there is another scar, the operation itself is longer and more
involved, and recovery involves a hospital stay of at least 2-3 days and a recovery period that can
last a few months.
Oncoplastic breast surgery
When cancer surgeons talk about surgery to treat breast cancer, often their goal is breast
conservation. In fact, 70-80% of all breast cancers are treated with breast conservation therapy
(lumpectomy +/- radiation). Although this approach allows for preservation of breast tissue,
subsequent lumpectomy defects can be deforming. In cosmetic breast surgery, we have a multitude
of different techniques to recon gure the breast into an ideal shape and position. This can include
volume reduction, lifting and tightening procedures.
Using these skills and principles to plan cancer excision is often referred to as oncoplastic breast
surgery and can allow for resection of the cancer and reshaping of the breast at the same time.
Volume-replacement techniques with tissue rearrangement can restore symmetry, while volume
displacement techniques in conjunction with contralateral breast lifts can restore ideal shape and
nipple position.
In each clinic we ask ourselves, what will it take to make our patients feel whole again? The answer
is that it takes something different for every patient, and board-certi ed plastic surgeons are
trained to offer this individualized care that patients deserve. The landscape of breast
reconstruction is changing. Options are increasing, and while this can increase the complexity of
the decision-making process, it also allows us to personalize the reconstructive plan based on the
goals and wishes of the patient. This patient-centered, multidisciplinary approach to breast cancer
care, with cure of disease and restoration of self, is the ultimate goal.
ASK A SURGEON
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Surgeons In Your Area
Why Choose A Board Certi ed Plastic Surgeon
Choose a board-certi ed plastic surgeon and be con dent you are in the care of a highly-trained surgeon you can
trust.
Do Your Homework
Have a question about this procedure? Create an account on our website to ask a question and
have an ASPS member surgeon answer!
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