breast reconstruction: tissue expander based reconstruction

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Reconstruction: Reconstruction: Tissue Expander Tissue Expander Based Based Reconstruction Reconstruction Michael J Bass, MD, JD Michael J Bass, MD, JD Plastic Surgeon Plastic Surgeon www.drmichaeljbass.com www.drmichaeljbass.com Michael J Bass Plastic Michael J Bass Plastic Surgery, PLLC Surgery, PLLC

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Breast Reconstruction: Tissue Expander Based Reconstruction. Michael J Bass, MD, JD Plastic Surgeon www.drmichaeljbass.com Michael J Bass Plastic Surgery, PLLC. Premastectomy Evaluation. 40 year old female status post right breast lumpectomy for DCIS Tested BRCA-1 (+) - PowerPoint PPT Presentation

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Page 1: Breast Reconstruction: Tissue Expander Based Reconstruction

Breast Breast Reconstruction:Reconstruction:

Tissue Expander Tissue Expander

Based ReconstructionBased ReconstructionMichael J Bass, MD, JDMichael J Bass, MD, JD

Plastic SurgeonPlastic Surgeonwww.drmichaeljbass.comwww.drmichaeljbass.com

Michael J Bass Plastic Surgery, Michael J Bass Plastic Surgery, PLLCPLLC

Page 2: Breast Reconstruction: Tissue Expander Based Reconstruction

Premastectomy EvaluationPremastectomy Evaluation► 40 year old female 40 year old female

status post right status post right breast lumpectomy breast lumpectomy for DCISfor DCIS

► Tested BRCA-1 (+)Tested BRCA-1 (+)►Mother died at age Mother died at age

60 (ovarian CA)60 (ovarian CA)► Status post pan Status post pan

hysterectomyhysterectomy

3/31/2010

Page 3: Breast Reconstruction: Tissue Expander Based Reconstruction

Preoperative CounselingPreoperative Counseling►Patient counseled Patient counseled

on implant based on implant based reconstruction reconstruction versus versus autologous based autologous based reconstructionreconstruction

►After weighing all After weighing all the pros and cons the pros and cons of each, patient of each, patient decides on decides on implant based implant based reconstructionreconstruction

Page 4: Breast Reconstruction: Tissue Expander Based Reconstruction

Immediate Reconstruction at Immediate Reconstruction at Time of Bilateral Mastectomies Time of Bilateral Mastectomies

with Tissue Expanders and with Tissue Expanders and Acellular Dermal MatrixAcellular Dermal Matrix

4/15/2010

Page 5: Breast Reconstruction: Tissue Expander Based Reconstruction

Maximal Expansion to 800 Maximal Expansion to 800 cccc’’ss

6/1/2010

Page 6: Breast Reconstruction: Tissue Expander Based Reconstruction

Post TE Removal, Permanent Post TE Removal, Permanent Implant Placement 700 ccImplant Placement 700 cc’’ss

7/21/2010

Original mastectomy scar used every time for reentry to breast pockets; no new incisions used

Page 7: Breast Reconstruction: Tissue Expander Based Reconstruction

Left Capsulotomy, IMF Left Capsulotomy, IMF LoweringLowering

10/25/2011

Page 8: Breast Reconstruction: Tissue Expander Based Reconstruction

Right CapsulotomyRight Capsulotomy

1/21/2011

Page 9: Breast Reconstruction: Tissue Expander Based Reconstruction

Bilateral Nipple Reconstruction: Bilateral Nipple Reconstruction: Modified Skate FlapsModified Skate Flaps

3/10/2011

Foam protectors around reconstructed nipples

Page 10: Breast Reconstruction: Tissue Expander Based Reconstruction

Bilateral Areolar TattooingBilateral Areolar Tattooing

11/15/2011

Page 11: Breast Reconstruction: Tissue Expander Based Reconstruction

Pre and Post ReconstructionPre and Post Reconstruction

3/31/2010 – 12/9/2011: 20 months (618 days), 6 surgeries

Page 12: Breast Reconstruction: Tissue Expander Based Reconstruction

Michael J Bass, MD, Michael J Bass, MD, JDJD

Plastic SurgeonPlastic Surgeonwww.drmichaeljbass.comwww.drmichaeljbass.com