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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 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 6

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 7

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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Breast Reconstruction by Tissue Expansion / Implant – Case 8

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 9

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 10

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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