Breast Reconstruction by Tissue Expansion / Implant Cases

 

Achieving good cosmetic outcomes with bilateral mastectomies are a real challenge.  It takes a good plan, proper sequencing of staging, good healing, and precise shaping and implant selection.  This patient underwent a bilateral mastectomy and a staged reconstruction with tissue expanders and later implants

This patient underwent a bilateral mastectomy where the left was nipple-sparing and the right was non-nipple-sparing.

This is among the most complex combinations done by a staged approach initially, with tissue expanders, later implants, and right nipple areola 3-D tattooing. An amazing result for a woman who had bilateral mastectomies.

This patient underwent a bilateral mastectomy for breast cancer and then a staged breast reconstruction using tissue expanders later replaced with silicone gel implants and finally nipple reconstruction, fat grafting, and tattooing.

A fine outcome with excellent camouflage of the mastectomy defect.

This patient underwent a bilateral nipple-sparing mastectomy and immediate initiation of breast reconstruction using tissue expanders later replaced with silicone gel implants, and then fat grafting to further camouflage the mastectomy.  A fine outcome.

This case demonstrates the process of breast reconstruction, which included the tissue expansion (mid-way point) and then final reconstruction and 3-D nipple-areola tattooing.

This patient underwent bilateral mastectomy for breast cancer and staged reconstruction with a tissue expander, ADM, and bilateral de-epithelialized flaps.

I have developed a unique solution to help women with sagging, larger breasts who must have a mastectomy.  Typically, these women have the poorest cosmetic outcomes with a traditional mastectomy due to saggy excess skin.   My approach uses vertical and horizontal inframammary incisions to shape the new breast as a breast lift would.

She is shown with expander’s right after the mastectomy, and again after the nipple reconstruction and shape refinement.  A great result.

A nipple-sparing mastectomy with reconstruction using a staged approach of tissue expanders and implants can yield an outcome very close to that of cosmetic breast augmentation which is a real triumph in the management of breast cancer.

This patient underwent a unilateral right mastectomy with staged reconstruction using a tissue expander replaced later by implants.  She also underwent a left breast lift and nipple reconstruction at a later date.  Separate views show the tissue expander stage and a close up of the final nipple reconstruction.  An amazing result after the mastectomy!

This young woman underwent a bilateral mastectomy with nipple-sparing and staged reconstruction using tissue expanders followed by implants.  It is hard to differentiate this (total breast reconstruction) from cosmetic augmentation – An Amazing Result!

 

This patient underwent a bilateral nipple-sparing mastectomy, staged approach with a tissue expander, acellular Dermal Matrix (ADM), and later implant reconstruction in a Final (2nd) stage. A fine outcome