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Case of the Month – September – Breast Reconstruction

The patient is a woman in her 30’s who had bilateral mastectomies with delayed expander placement approximately 6 weeks after.  Several months later, she went on to expander removal with exchange for a permanent silicone implant and nipple areolar reconstruction.  Excellent preservation of the skin envelope by the general surgeon at mastectomy makes her overall …

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Case of the Month – July 2012 – Implant Infection Management

The patient is a woman in her mid 30’s who had breast augmentation performed in Europe approximately 10 years ago.  The implants were placed via an incision through the nipple.  Incisions through and around the nipple are associated with higher incidence of painful and distorting scar around the implant called a contracture, as well as …

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Case of the Month – Nipple Sparing Mastectomy Capsular Contracture

I wrote in the February 2011 Blog about Nipple Sparing Mastectomy.  It is a procedure that was previously associated with poor outcomes, especially capsular contracture  (tightening of the scar capsule around the implant).  Surgery to improve these patients’ outcomes is particularly challenging and not everyone can be helped.  The procedure has much better outcomes now secondary …

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Case of the Month – May 2011 – Breast Reconstruction

The patient presented had mastectomy and radiation therapy on the left for breast cancer.  She elected to have a right prophylactic mastectomy.  A latissimus flap was indicated on the left to minimize problems related to the radiation.  The patient, however, had enough relatively thick preserved skin after her right to make a lattisimus flap on …

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Case of the Month – December 2010 – Breast Reconstruction Fat Grafting

  Intra operative acellular dermis placement Post fat grafting The patient presented post mastectomies with thin coverage and a peak shaped chest.  We discussed using latissimus flaps for improved coverage, but she wanted to avoid a more involved operation.  We used acellular dermis with the initial expander and implant reconstruction to improve the tissue thickness …

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