Los Angeles Breast Reconstruction doctors
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Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
20072 SW Birch St Suite 110, Newport Beach |
21 answers | |
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Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
1301 20th St St. Johns Medical Plaza - Suite 240, Santa Monica |
17 answers | |
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Kevin Brenner, MD
Los Angeles Plastic Surgeon
465 North Roxbury Drive Suite 1001, Beverly Hills |
14 answers | |
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Lisa B. Cassileth, MD
Beverly Hills Plastic Surgeon
436 N Bedford Dr Suite 103, Beverly Hills |
7 answers | |
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Susan E. Downey, MD
Los Angeles Plastic Surgeon
321 N Larchmont Blvd Suite 800, Los Angeles |
3 answers | |
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John E. Gross, MD
Los Angeles Plastic Surgeon
425 South Fair Oaks, Pasadena |
3 answers | |
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Andre Panossian, MD
Los Angeles Plastic Surgeon
800 Fairmount Ave #207, Pasadena |
2 answers | |
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Anita Patel, MD
Beverly Hills Plastic Surgeon
465 N Roxbury Dr Suite 1001 , Beverly Hills |
2 answers | |
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Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon
9201 Sunset Blvd Suite 214, Los Angeles |
2 answers | |
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David S. Rosenberg, MD
Beverly Hills Plastic Surgeon
9090 Burton Way, Beverly Hills |
2 answers | |
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Steven Teitelbaum, MD
Los Angeles Plastic Surgeon
1301 20th St Suite 350, Santa Monica |
2 answers |
Recent Answers
How do medical products like Alloderm aid in breast reconstruction procedures?
1. With tissue expanders
Alloderm is used by many plastic surgeons with tissue expander placement at the time of mastectomy. After the mastectomy, the pectoral muscle is lifted and the Alloderm is placed from the edge of the pec to the bottom of the breast. Generally this means less pain and faster expansion.
2. With implants
Alloderm is used as an "internal bra" to control the position of the implant so that the silicone implant can be placed at the time of mastectomy. This is a GREAT technique - in the right hands. Make sure your plastic surgeon and general or oncologic surgeon are comfortable with this! Generally this reconstruction is performed with nipple or skin sparing mastectomy and is associated with fewer complications and faster recovery. As far as I know perhaps ten surgeons around the country are doing this successfully.
My doctor had to set up separate surgery to repair loss of inframammary fold after surgery to remove expander. He says that sometimes this is necessary. I feel that he should have seen it at time he removed expander and fixed it then so that I would not be charged for another surgery. Please advise
I think the number one question is what is the reason for removing the expander in the first place? Also, how many surgeries were performed prior to the placement of your expander? Was this for breast cancer reconstruction, and if so, did you receive radiation therapy? Typically, when multiple surgeries have already been done, it is best to start from scratch to allow the tissues to heal. This needs to be balanced by the need to keep your current breast volume, which can shrink if is not maintained by another expander or implant. On the other hand, there are sometimes too many variables to control when trying to correct a secondary breast deformity. Elevating the inframammary fold is one of the most difficult tasks to accomplish even as a solo procedure. Adding the weight of another expander or implant may make inframammary fold reconstruction quite difficult and prone to failure. I think in these situations, less is more.
When a nipple is reconstructed after mastectomy, will it always have the hard look? Ie, will they always look like they're "nippin' out"?
Following mastectomy, breast reconstruction will usually replace the mound or shape of the breast but not the nipple. There are several options for reconstructing nipples. Some use bone or cartilage grafts to maintain projection of the nipple. However, firmness of the nipple reconstruction is the trade off. Fortunately, there are other techniques available to create projection without the use of firm graft material. These techniques typically involve using special patterns carved out from the reconstructed breast skin.
