Click on images for additional views of each patient in Lightbox.
The image on the left was taken after positive biopsy for left breast cancer, prior to mastectomy and immediate reconstruction.
The image on the right show a result after left breast reconstruction using tissue expansion/permanent breast implant, right breast augmentation, and portacath removal.
The image on the left was taken after tissue expansion for reconstruction of the right breast, but before placement of the permanent implant. The portacath, which was used for chemotherapy, is visible on the upper left of her chest in the second image.
The image on the right shows a result after second stage reconstruction, but prior to nipple/areola reconstruction.
The image on the left is a pre-operative image; it was taken before this patient's bilateral mastectomy and her immediate reconstruction using tissue expanders.
The image on the right was completion of the expansion process, but prior to second stage reconstruction (removal of tissue expander and placement of permanent breast implant).
This patient had bilateral breast reconstruction using tissue expansion and permanent breast implants. The two images show the final results.
The image on the left was taken after positive biopsy for left breast cancer, prior to left mastectomy and immediate reconstruction. The image on the right shows a final result after reconstruction of the left breast using tissue expansion and a permanent, silicone gel breast implant. A breast lift was done on the right breast for symmetry.
This is a 33 year old lady who presented after right breast lumpectomy and radiation for breast cancer. She was concerned because of her breast asymmetry; she also was unhappy with her breast ptosis. To address these issues, we first placed a tissue expander on the right side, and at the same time did a left breast mastopexy (lift). Five months later, after the expansion process was completed she was taken back to the operating room where a permanent implant was placed on the right (after removing the tissue expander)—a mastopexy was performed on the right breast at the same time.
Surgery in a radiated field (such as the right breast in this situation) has a much higher complication rate—there is a higher incidence of contracture of the breast, or wound healing problems. After mastectomy, a flap method is typically my favored approach to address breast mound reconstruction. The situation after lumpectomy is difficult, because not that much volume is needed. This patient understood prior to the 1st surgery that this technique might not work, and ultimately might have needed to utilize a flap to salvage the situation.
This 41 year old woman presented after right mastectomy for breast cancer. Delayed reconstruction was accomplished with tissue expansion, followed by permanent implant placement (silicone gel implants), and nipple/areola reconstruction under local in the office. Her left breast was augmented at the second stage procedure for symmetry.
This 24 year old woman had presented with biopsy proven breast cancer- she and her oncologist planned to proceed with bilateral mastectomies.Immediate bilateral reconstruction was performed with tissue expanders at the time of mastectomy. The picture on the right shows her after 2nd stage reconstruction, in which the expanders were removed and permanent silicone implants were placed.