Breast reconstruction following bilateral mastectomy
This 38 year old woman had breast cancer and the BRCA1 gene. She elected to undergo bilateral mastectomies and staged reconstruction. She desired reconstruction with silicone implants. She has hidden incisions in the lower lateral fold underneath the breasts.
High profile silicone implants are used to restore excellent contour symmetry and shape. These are the so-called "gummy bear" cohesive gel implants which feature silicone that stays in place (i.e. does not leak out). Implants are best for patients with minimal ptosis (breast droop), good nipple position, and no radiation.
This patient desired a slightly larger size. She was an ideal candidate due to her age, skin quality, and lack of breast ptosis.
This young patient had breast cancer. She desired reconstruction with silicone implants and I utilized a 2-stage technique. The first stage involved placement of tissue expanders beneath the pectoralis major muscle and Surgimend acellular matrix for the lower half for implant support. During her... chemotherapy, I inflated the tissue expanders each week until we reached a desired volume. Then, through a very straight-forward surgery I removed the expanders and replaced them with permanent implants. She has done very well.
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