Breast Reconstruction (Individual Result May Vary)
This patient was found to have a lobular carcinoma in situ on her left breast. This showed up on a routine mammogram. She had frequent mammograms and multiple biopsies on the left side. She had a pronounced family history of breast cancer. She was given multiple options and opted for bilateral mastectomies with immediate reconstructions. Because the tumor was small and deep, it was an option to do her mastectomy as a nipple sparing mastectomy, which was done through periareolar incisions with lateral extensions. Her mastectomy was done by Dr. Scott Robbins. At the completion of the mastectomy, Strattice dermal matrix was placed to serve as an internal bra with placement of tissue expanders which were expanded over time to the appropriate volume. A second operation was carried out to replace the tissue expanders with a long lasting implant, remove breast tissue beneath the nipple areola complexes, and revise Strattice on both sides. She has gotten a very nice result. She has maintained pretty much her breast size and shape and her own nipple areola complexes. She had negative margins on all of her resections and remains cancer free to date.
She came to see me after being referred by her general surgeon for considerations for immediate breast reconstructions following a planned mastectomy. She had a tumor in the left breast. The right breast was radiographically and clinically clean. She wanted her breasts larger, which would require an implant. This and other considerations prompted an implant as opposed to a flap type reconstruction. She underwent a simple mastectomy on the right and the left side, skin sparing, with immediate first stage reconstruction with expanders and implants. The expanders were inflated to volume. After which, she began chemo and did require radiation for the breast cancer on the left side. Post completion of the radiation, she was returned to the operating room where the tissue expanders were removed and a long lasting implant replaced. Subsequently some months later, she had the nipple areolas reconstructed. She, at some point, may require some tattooing for color on the nipple areola complex and possibly some further augmentation with fat grafts on the radiated left breast. Photographs are taken several months after completion of the nipple areola complex reconstructions. The shape of the breast is very nice with sharp creases, good projection of the breasts, and a larger cup size. The breasts have remained soft and natural feeling. The left breast, because of the radiation, is a little firmer and a little smaller than the right side. All in all, she has gotten a very nice result that of which she is pleased. Her preoperative breast size was a C cup is now a D.
This is a 50-year-old lady who had breast cancer. She had bilateral mastectomies and underwent bilateral breast and nipple reconstruction. Preoperatively, she had extremely large breasts that were hard to examine. She was also having some neck and shoulder problems with the heavy breasts. When breast cancer was detected, she underwent bilateral mastectomies and was then reconstructed bilaterally. She now looks better and feels better than she did prior to having breast cancer.
This is a lady who underwent a lumpectomy and radiation of her right breast for breast cancer. She presented with a small, contracted, and distorted right breast. She underwent right breast reconstruction. Postoperatively shows that the breast now has much better shape and position on the chest. She can now wear any type of clothing she desires without feeling self-conscience that the right breast is small and distorted. Breast reconstruction procedures are covered by major insurance companies.
This patient had numerous family members with breast cancer, had herself numerous breast biopsies, and had genetic testing that indicated a very high risk for developing breast cancer in her lifetime. She opted for bilateral prophylactic simple mastectomies with immediate reconstruction. The mastectomies were done through a wise pattern (breast reduction) excision removing redundant skin on the breasts in addition to the underlying breast parenchyma and reconstruction with implants and biologic dermal matrix suspension internally. She subsequently had reconstruction of the nipple areolar complex. She presently is a large C/small D. The breasts are significantly better shaped than that of her preoperative appearance. Her breasts are soft and symmetry is excellent.
This is a 30-year-old lady who has been having chronic pain in her breasts. Some ladies have a lot of breast pain for no specific reason. Her breasts were hurting her so much that they tended to incapacitate her. She underwent a bilateral removal of breast tissue and reconstruction. Preoperatively, you see the breasts are loose and droopy with the nipples pointing inferiorly. Postoperatively, the breasts are now soft and in good position. We have eliminated her breast pain. She has breasts that now look better, feel better, and without pain.