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Case Study: Tissue Expansion / Implant

Breast Reconstruction by Tissue Expansion / Implant – Case 1

This case showcases my approach to Breast Reconstruction in women undergoing mastectomy who have sagging breasts. I have a unique way of combining breast reduction pattern flaps incorporated in mastectomy which at the end of the process ensures a far superior aesthetic outcome!

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Breast Reconstruction by Tissue Expansion / Implant – Case 2

This case demonstrates the use of 3D tattooing in cases where either the patient declines nipple reconstruction or in past radiation where formal nipple reconstruction may not work well. The 3D pigmentation process looks like there is a real nipple in place!

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Breast Reconstruction by Tissue Expansion/Implant – Case 3

This patient presented with left breast cancer and underwent bilateral nipple sparing mastectomy and bilateral tissue expander ADM with subsequent replacement of expanders with implants. She is shown months after surgery. A fine cosmetic-level outcome!

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Breast Reconstruction by Tissue Expansion / Implant – Case 4

This patient underwent bilateral mastectomy and breast reconstruction using nipple sparing technique and staged approach with tissue expander and later implants.  An amazing result after total mastectomy which rivals the outcome of cosmetic breast augmentation.

 

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Breast Reconstruction by Tissue Expansion / Implant – Case 5

This patient underwent bilateral mastectomy and staged reconstruction using nipple sparing technique first using tissue expanders and later with shaping and implants.  An amazing cosmetic result after mastectomy.

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Breast Reconstruction by Tissue Expansion / Implant – Case 6

In order to improve the uneven sag in her breasts, when undergoing bilateral mastectomy, I designed her nipple sparing mastectomy and reconstruction using expanders and implants and ADM (acellular dermal matrix) to lift her during the reconstruction process.  As the final stage, I did fat grafting to better camouflage the mastectomy.  A great outcome.

 

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Breast Reconstruction by Tissue Expansion / Implant – Case 7

Achieving good cosmetic outcomes with bilateral mastectomies are a real challenge.  It takes a good plan, proper sequencing of staging, good healing, and precise shaping and implant selection.  This patient underwent bilateral mastectomy and staged reconstruction with tissue expanders and later implants.

 

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Breast Reconstruction by Tissue Expansion / Implant – Case 8

This patient underwent bilateral mastectomy where the left was nipple sparing and the right was non nipple sparing.

This is among the most complex combinations done by staged approach initially, with tissue expanders, later implants, and right nipple areola 3D tattooing. An amazing result for a woman who had bilateral mastectomies.

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Breast Reconstruction by Tissue Expansion / Implant – Case 9

This patient underwent bilateral mastectomy for breast cancer and then staged breast reconstruction using tissue expanders later replaced with silicone gel implants and finally nipple reconstruction, fat grafting and tattooing.

A fine outcome with excellent camouflage of the mastectomy defect.

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Breast Reconstruction by Tissue Exp / Implant – Case 10

Unilateral mastectomy can present a special challenge in obtaining symmetry. Here, the patient  underwent right mastectomy and implant reconstruction with left breast lift. pending tattooing.

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