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Bilateral DIEP Flap Reconstruction Following Tissue Expander Reconstruction

Bilateral DIEP Flap Reconstruction Following Tissue Expander Reconstruction

DIEP flap reconstruction can be used to reconstruct the breast in patients who have undergone radiation who are no longer candidates for implant reconstruction. In the radiated breast, the skin may not tolerate an implant or may be more susceptible to infection. In these patients the breast is reconstructed with the patients own body tissue. This photos shows a bilateral…

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Removal and Replacement of Mammary Prosthesis-Staged Reconstruction

Removal and Replacement of Mammary Prosthesis-Staged Reconstruction

Patients with breast implants may encounter capsular contracture. Some patients may get capsular contracture repeatedly. In patients with capsular contracture we recommend removal of the mammary prosthesis. Often patients do not want do be completely done with their mammary prosthesis and we then encourage patients to have smaller mammary prosthesis replaced. It is often helpful to have the mammary prosthesis…

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DIEP Flap Breast Reconstruction and Mammary Prosthesis

DIEP Flap Breast Reconstruction and Mammary Prosthesis

DIEP flap reconstruction is a common method of reconstruction. Occasionally the lower abdomen does not have sufficient tissue for a bilateral reconstruction and the flap reconstruction can be augmented with mammary prosthesis. Typically, we wait until one year after a DIEP flap reconstruction to augment the breast. The satisfaction rate is high with augmentation of the DIEP flaps because the…

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DIEP Flap Breast Reconstruction

DIEP Flap Breast Reconstruction

DIEP flap breast reconstruction is an excellent option for a unilateral mastectomy in a patient with the appropriate body habitus. The unilateral autologous reconstruction can match the contralateral breast well with respect to shape. Size can also be matched well, depending on the abdominal donor site. Autologous flap reconstructions tolerate radiation therapy well. This is a right unilateral DIEP flap…

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Abdominoplasty

Abdominoplasty

Abdominoplasty is an operation that can effectively help to improve the contour of the abdomen. There is a significant amount of healing and patient compliance post-operatively that is required with abdominal binders and JP drains. Protein nutrition is important and patients are instructed to consume 80-100 grams of protein daily to facilitate healing.

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Abdominoplasty-Creating the “Belly Button”

Abdominoplasty-Creating the “Belly Button”

There are several decisions that come into account when performing an abdominoplasty operation. One is the quality of the skin on the abdominal wall and how much skin can be removed. This will sometimes determine the location of the lower abdominal skin incision and also whether or not the previous belly button opening can be excised. With significant amount of…

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