implantand autologous breast reconstruction

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Implant and Implant and Autologous Breast Autologous Breast Reconstruction Reconstruction

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Page 1: Implantand autologous breast reconstruction

Implant and Autologous Implant and Autologous Breast ReconstructionBreast Reconstruction

Page 2: Implantand autologous breast reconstruction

35 year old female BRCA1 35 year old female BRCA1 positive who has elected to positive who has elected to

undergo bilateral prophylactic undergo bilateral prophylactic nipple sparing mastectomies nipple sparing mastectomies

and single stage breast and single stage breast reconstruction with silicone reconstruction with silicone

breast implantsbreast implants

Page 3: Implantand autologous breast reconstruction

Breast Reconstruction after Bilateral Nipple Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Sparing Mastectomies through

Inframammary Incision Using Alloderm and Inframammary Incision Using Alloderm and Silicone Breast ImplantsSilicone Breast Implants

Before After

Page 4: Implantand autologous breast reconstruction

Breast Reconstruction after Bilateral Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Nipple Sparing Mastectomies through Inframammary Incision Using Alloderm Inframammary Incision Using Alloderm

and Silicone Breast Implantsand Silicone Breast Implants

Before After

Page 5: Implantand autologous breast reconstruction

Breast Reconstruction after Bilateral Breast Reconstruction after Bilateral Nipple Sparing Mastectomies through Nipple Sparing Mastectomies through

Inframammary IncisionInframammary Incision

Before After

Page 6: Implantand autologous breast reconstruction

43 year-old S/P B/L Mastectomies 43 year-old S/P B/L Mastectomies Undergoing Expansion 290 cc /350 Undergoing Expansion 290 cc /350

cc Expandercc Expander

Page 7: Implantand autologous breast reconstruction

Completion of Expansion at 2.5 Completion of Expansion at 2.5 monthsmonths

Page 8: Implantand autologous breast reconstruction

Completion of Expansion at 2.5 Completion of Expansion at 2.5 monthsmonths

Page 9: Implantand autologous breast reconstruction

8 Months After Completion of 8 Months After Completion of ExpansionExpansion

Patient had post-operative chemotherapy Patient had post-operative chemotherapy till three months after completion of till three months after completion of expansion followed by completion of left expansion followed by completion of left chest wall irradiation for three months.chest wall irradiation for three months.

Page 10: Implantand autologous breast reconstruction

6 Weeks After Completion of 26 Weeks After Completion of 2ndnd Stage Stage ReconstructionReconstruction

Page 11: Implantand autologous breast reconstruction

6 Weeks After Completion of 26 Weeks After Completion of 2ndnd Stage Stage ReconstructionReconstruction

Page 12: Implantand autologous breast reconstruction

6 Weeks After Completion of 26 Weeks After Completion of 2ndnd Stage Stage ReconstructionReconstruction

Page 13: Implantand autologous breast reconstruction

Secondary Breast ReconstructionSecondary Breast Reconstruction

53 year old female with history of bilateral 53 year old female with history of bilateral subpectoral silicone implants placed after subpectoral silicone implants placed after bilateral mastectomies 20 years ago.bilateral mastectomies 20 years ago.

Patient presents now with bilateral Patient presents now with bilateral ruptured silicone implantsruptured silicone implants

Page 14: Implantand autologous breast reconstruction

Pre-op PhotosPre-op Photos

Page 15: Implantand autologous breast reconstruction

Pre-op PhotosPre-op Photos

Page 16: Implantand autologous breast reconstruction

Six Weeks S/P B/L Capsulectomies, Six Weeks S/P B/L Capsulectomies, Removal of Implants, Placement of 250 Removal of Implants, Placement of 250

cc Mod Plus Gel Implantscc Mod Plus Gel Implants

Page 17: Implantand autologous breast reconstruction

Six Weeks S/P B/L Capsulectomies, Six Weeks S/P B/L Capsulectomies, Removal of Implants, Placement of 250 Removal of Implants, Placement of 250

cc Mod Plus Gel Implantscc Mod Plus Gel Implants

Page 18: Implantand autologous breast reconstruction

3 Months Post-op3 Months Post-op

Page 19: Implantand autologous breast reconstruction

3 Months Post-op3 Months Post-op

Page 20: Implantand autologous breast reconstruction

53 year-old female with ruptured right breast 53 year-old female with ruptured right breast silicone implant who had b/l capsulectomies, silicone implant who had b/l capsulectomies, exchange of implants from subglandular to exchange of implants from subglandular to

submuscular position, left breast scar revisionsubmuscular position, left breast scar revision

6 Weeks Post-op

Page 21: Implantand autologous breast reconstruction

53 year-old female with ruptured right breast 53 year-old female with ruptured right breast silicone implant who had b/l capsulectomies, silicone implant who had b/l capsulectomies, exchange of implants from subglandular to exchange of implants from subglandular to

submuscular position, left breast scar revisionsubmuscular position, left breast scar revision

Page 22: Implantand autologous breast reconstruction

Bilateral Pedicled TRAMBilateral Pedicled TRAM

49 year-old female with history of bilateral 49 year-old female with history of bilateral mastectomes and radiation to left chest mastectomes and radiation to left chest and axilla, right tissue expander presents and axilla, right tissue expander presents for Bilateral Pedicled TRAM Flapsfor Bilateral Pedicled TRAM Flaps

Page 23: Implantand autologous breast reconstruction

Pre-op PhotosPre-op Photos

Page 24: Implantand autologous breast reconstruction

Pre-op PhotosPre-op Photos

Page 25: Implantand autologous breast reconstruction

8 Weeks Post-op Photos8 Weeks Post-op Photos

Page 26: Implantand autologous breast reconstruction

8 Weeks Post-op8 Weeks Post-op

Page 27: Implantand autologous breast reconstruction

8 Weeks Post-op8 Weeks Post-op

Page 28: Implantand autologous breast reconstruction

8 Months Post-op8 Months Post-op

Page 29: Implantand autologous breast reconstruction

8 Months Post-op8 Months Post-op

Page 30: Implantand autologous breast reconstruction

62 year old female with history of 62 year old female with history of right breast reconstruction who right breast reconstruction who

presents with ruptured right breast presents with ruptured right breast silicone implant and capsular silicone implant and capsular

contracturecontracture

Before After

Page 31: Implantand autologous breast reconstruction

Capsulectomy, Exchange of Capsulectomy, Exchange of ImplantsImplants

Page 32: Implantand autologous breast reconstruction

Capsulectomy, Exchange of Capsulectomy, Exchange of ImplantsImplants

Page 33: Implantand autologous breast reconstruction

Nipple ReconstructionNipple Reconstruction