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Case Study: Tissue Expansion / Implant

Breast Reconstruction by Tissue Expansion / Implant – Case 1

Nipple sparing bilateral mastectomy is still a total mastectomy where all tissue under the skin is completely removed. Potentially disfiguring, it can be reconstructed to yield a lovely breast. Look at how I did it here using a staged approach with tissue expanders, and then implants.

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Breast Reconstruction by Tissue Expansion / Implant – Case 2

This patient underwent  the conventional non nipple sparing method of bilateral mastectomy. She was reconstructed using a staged approach first with tissue expanders, and then with implants. I reconstructed  (created from nothing) life-like nipple and areola and then pigmented them to give a truly great result. Hard to believe this breast was created from essentially nothing.

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Breast Reconstruction by Tissue Expansion / Implant – Case 3

This patient presented to me unhappy with previous attempts elsewhere at post mastectomy breast reconstruction. I created an entirely new implant space, utilizing tissue recruitment techniques, allografts, and new implants better proportioned to her body. Later, I did nipple areola reconstruction, the results are amazing.

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Breast Reconstruction by Tissue Expansion / Implant – Case 4

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 5

This patient present with complex issues of extreme sag and large areola with a high scar. I planned reconstruction and mastectomy incisions to mimic that of a breast reduction.

The final result after bilateral total mastectomy is amazing!

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Breast Reconstruction by Tissue Expansion / Implant – Case 6

Managing very large breasts with significant sag is the most complex part of mastectomy reconstruction.

I take an unique approach to this problem, converting the mastectomy yo a breast reduction pattern and reconstructing the breast to look like a lift plus implant.

An amazing result!

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Breast Reconstruction by Tissue Expansion / Implant – Case 7

This is a very complex case. Combining mastectomy with tissue expander in ptosis construction anomaly is challenging. Here, she is seen after nipple reconstruction.

I completely reshaped the entire breast footprint from oddly angular to a nice round appealing breast shape.

A great outcome!

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Breast Reconstruction by Tissue Expansion / Implant – Case 8

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 9

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 10

Bilateral nipple sparing mastectomy and staged reconstruction with tissue expanders followed by implants using only a small lateral incision. A fine outcome.

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