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Oncoplastic Reconstruction of Lumpectomy Defects with Split Reduction and IORT and Implant Removal

Oncoplastic Reconstruction of Lumpectomy Defects with Split Reduction and IORT and Implant Removal

Patients with breast cancer can undergo lumpectomy and oncoplastic reconstruction of their lumpectomy defects. Depending upon the size of a cancer the patient can undergo intra-operative radiation therapy at the time of the lumpectomy. Breast implants can be removed at the time of the operation. The satisfaction rate with oncoplastic reconstruction of lumpectomy defects is high.

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Trans-Axillary Breast Augmentation

Trans-Axillary Breast Augmentation

Trans-Axillary breast augmentation allows implants to be placed through the armpit without a visible scar on the breast or chest wall. Revision of the implant is possible through the same trans-axillary incision but can be challenging. Silicone implants can be placed through the trans-axillary incision, but the volume may be slightly limited. Patient satisfaction is high with the trans-axillary incision.…

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Oncoplastic Reconstruction of Breast Cancer Lumpectomy Defects.

Oncoplastic Reconstruction of Breast Cancer Lumpectomy Defects.

There are many different ways to reconstruct the breast following lumpectomy. Oncoplastic reconstruction of lumpectomy defects can provide excellent exposure for the oncologic breast surgeon to perform a lumpectomy and it can also allow the breast to be reconstructed in an aesthetic fashion. The mastopexy or breast lift component of the reconstruction can make a more compact target for radiation…

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Secondary Mastopexy Augmentation

Secondary Mastopexy Augmentation

Secondary mastopexy augmentation is when a mastopexy augmentation is performed in a previously augmented or operated breast. In these patients it is important to take significant attention to the previous plane of the implant and previous incisions to be able to discern the remaining blood supply to the breast.  In the secondary mastopexy augmentation it is quite common to perform…

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Abdominoplasty. Body Contouring Principles

Abdominoplasty is the medical term for a “tummy tuck”. Frequently women come to our office as they find it nearly impossible to restore the contour to their abdomen that they once had despite strict diet and exercise. After the delivery of several children, the rectus abdominus muscles and fascia of the abdominal wall become lax. When this occurs, despite women…

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Oncoplastic Reconstruction of Lumpectomy Defects-Upper Outer Quadrant Split Reductions and IORT

Oncoplastic Reconstruction of Lumpectomy Defects-Upper Outer Quadrant Split Reductions and IORT

Tumors of the upper outer quadrant of the breast and with certain characteristics can be excised with lumpectomy, intra-operative radiation therapy, and oncoplastic reconstruction of the lumpectomy defect. In general, tumors that are amenable to lumpectomy and IORT tend to be less than 3 cm, estrogen receptor positive, unifocal, and have negative lymph node status. When a breast undergoes a…

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