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The patient is a young woman with breast cancer who underwent bilateral mastectomy with aesthetic delayed reconstruction.  She has a keel shaped chest which is evident only post mastectomy.

AP pre op

AP post mastectomy

AP post reconstruction

Oblique pre op

Oblique post mastectomy

Oblique post reconstruction

The patient is a young woman with good breast size, but volume loss and ptosis (droop) post pregnancy. Breast Augmentation fills the “empty bag” and provides superior fullness to make attractive cleavage in a bra.  For this approach to work without a mastopexy (lift) with its accompanying scars, two things are necessary.  First, the patient must accept that she will be relatively large as there must be adequate implant weight to get the device to the bottom of the breast (bag).  Second, a bi-planar technique is used.  This keeps the upper part of the implant covered with muscle while allowing the extra breast tissue to distribute over the implant surface.   In patients with good breast volume, saline implants are usually well hidden by this technique as well.  Third, the patient should have downward pressure on the  implant with a bandeau (an elastic strap) for at least several weeks.  The implant usually reaches a good position.  Even if the implant position is not all the way at the bottom of the breast, it nonetheless looks very good and need for a mastopexy is usually avoided.

Pre op anterior view

Post op anterior view

Pre op oblique view

Post op oblique view

Finish line at the Komen Race for the Cure

Add a Facial Wax to any service for $10.

Two of our Staff feeling proud after finishing well ahead of Dr. Wigod in the Race.

The patient is a woman who had silicone gel implants placed greater than 20 years ago.  She developed capsular contractures which distorted her breasts and were uncomfortable.  She had capsulectomy (removal of the scar shell, or capsule) and replacement of the implants.

capsular contracture anterior view pre

capsulectomy and implant exchange anterior view post

calcified capsules

The patient had bilateral mastectomies.  After appropriately removing cancer on the left, relatively thin tissue coverage was necessarily left.  After expansion, it was evident that there would be unavoidable contour irregularities.  Before implant exchange and nipple reconstruction, the patient’s own fat was injected (fat grafting) to help improve the soft tissue coverage.  The fat was well incorporated, provided padding over the implant, and improved the overlying skin texture and quality.  Fat grafting has variable take and may need to be repeated for optimal results.

Post expansion / Pre fat grafting view

Post implant exchange, nipple reconstruction, and fat grafting anterior view

Pre oblique view

Post expansion / Pre fat grafting

Post implant exchange, nipple reconstruction, and fat grafting oblique view