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Oncoplastic Breast Reconstruction

Removal of Bilateral Implants and Mastopexy, A Step-Wise Sequence to Mastectomy.

Removal of Bilateral Implants and Mastopexy, A Step-Wise Sequence to Mastectomy.

There are many different ways to successfully treat or prevent breast cancer in genetically susceptible individuals. In some patients, one of the first steps is to create the best possible shape of the breast for a future mastectomy. In some patients, implants are removed and a mastopexy is performed to place the nipple areola complex in a higher and more…

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Implant Removal, Mastopexy, and Oncoplastic Closure of Lumpectomy Defects

Implant Removal, Mastopexy, and Oncoplastic Closure of Lumpectomy Defects

Breast cancer can be treated with lumpectomy. The same patterns that are used for a mastopexy (breast lift) can be used to facilitate breast cancer treatment. If a cancer lies outside of traditional patterns, then the breast lift pattern can be modified to remove the skin above the tumor when necessary. One component of breast cancer treatment for lumpectomy is…

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Breast Cancer Treatment: Oncoplastic Reconstruction of Lumpectomy Defects and Radiation Therapy

Breast Cancer Treatment: Oncoplastic Reconstruction of Lumpectomy Defects and Radiation Therapy

Breast cancer reconstruction can be different depending on the surgical oncology plan. Certain breast cancers depending upon the size of the tumor and the size of the breast can be treated with lumpectomy and radiation therapy. Radiation often has a positive impact on breast scars making them less apparent than the non-radiated side. Radiation may produce a small color change…

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Oncoplastic Reconstruction of Lumpectomy Defects and Aesthetic Tattoos.

Oncoplastic Reconstruction of Lumpectomy Defects and Aesthetic Tattoos.

Breast cancer can often be successfully treated with lumpectomy and radiation therapy. Often as part of mastectomy or lumpectomy reconstruction patients will get either a nipple areola complex tattoo or pattern tattoo placed on the breast. Pink ribbons, vines, flowers, etc. are often excellent patterns that can be placed to complete a reconstruction or conceal incisions. The photograph demonstrates before…

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Oncoplastic Reconstruction of Lumpectomy Defects and Radiation Therapy

Oncoplastic Reconstruction of Lumpectomy Defects and Radiation Therapy

Lumpectomy and radiation are a reasonable method to treat many breast cancers. The goals after lumpectomy are to get all of the wounds healed by six weeks so that the patient can proceed to radiation in a timely manner. The skin often tolerates radiation well after lumpectomy. The more intact and heartier the blood supply to the skin, the better…

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Oncoplastic Reconstruction of Lumpectomy Defect 20 years Post-Radiation

Oncoplastic Reconstruction of Lumpectomy Defect 20 years Post-Radiation

Many breast cancer patients have been treated with lumpectomy and radiation therapy. In some patients, the lumpectomy defect and the whole breast radiation can cause significant changes or deformities to the breast. In the before and after photograph shown, the patient had previous right breast cancer treated with lumpectomy and radiation. The lumpectomy defect as well as the whole breast…

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Oncoplastic Reconstruction of Lumpectomy Defects in Elite Athletes

Oncoplastic Reconstruction of Lumpectomy Defects in Elite Athletes

Breast cancer reconstruction is an area of my practice which is rewarding as we are often able to successfully treat a patient’s breast cancer effectively, yet at the same time prevent a deformity of the breast or in some cases enhance the appearance of the breast. Elite athletes who have successfully completed IronMan/IronWoman triathlons are patients who are dear to…

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Latissimus Dorsi Flap Mastectomy Breast Reconstruction

Latissimus Dorsi Flap Mastectomy Breast Reconstruction

The latissimus dorsi flap is an important and very versatile flap for breast reconstruction. The latissimus flap almost always requires a breast implant to add volume to the breast reconstruction in order to match the contralateral breast. The latissimus dorsi flap can be harvested and transferred with a skin paddle to replace a missing nipple areola complex or it can…

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