Blog

I wrote in the February 2011 Blog about Nipple Sparing Mastectomy.  It is a procedure that was previously associated with poor outcomes, especially capsular contracture  (tightening of the scar capsule around the implant).  Surgery to improve these patients’ outcomes is particularly challenging and not everyone can be helped.  The procedure has much better outcomes now secondary […]

The patient presented had mastectomy and radiation therapy on the left for breast cancer.  She elected to have a right prophylactic mastectomy.  A latissimus flap was indicated on the left to minimize problems related to the radiation.  The patient, however, had enough relatively thick preserved skin after her right to make a lattisimus flap on

  Intra operative acellular dermis placement Post fat grafting The patient presented post mastectomies with thin coverage and a peak shaped chest.  We discussed using latissimus flaps for improved coverage, but she wanted to avoid a more involved operation.  We used acellular dermis with the initial expander and implant reconstruction to improve the tissue thickness

The patient is a woman in her 50’s who had a large surgical weight loss.  She was dissatisfied with her breast size and shape and underwent a mastopexy.  The breast tissue (parenchyma) was reshaped and sutured higher on the chest was to give as much fullness as possible.

The patient is an Asian man who had difficulty seeing and felt aged secondary to extra upper eyelid skin.  He had an upper blepharoplasty (removal of eyelid skin).  Asian blepharoplasty is a different operation than the one performed on Caucasian patients.  The skin is thicker, the incision goes in a lower location, and the medial (towards the nose) lid

The patient had a left mastectomy for cancer.  She neither desired nor required any treatment to the right breast.  On the right, she had a moderate sized breast with mild ptosis (droop).  She had some abdominal fat without being obese, had no abdominal scars, and was otherwise healthy.  She was therefore a good candidate for

The patient is a post partum woman who desired a moderately large augmentation.  She had an inframammary incision to place a midrange Allergan silicone gel implant.  She maintains good upper pole fullness with no drop out of the implant.

      Last month, I traveled to Chicago to attend the Annual Scientific Meeting of the American Society of Plastic Surgeons. The educational offerings include basic science papers, panel discussions, structured courses, and vendor displays. I thought I would present a brief update on what I found interesting or new.       Breast

The patient presented is a 55 year old woman who had a gastric bypass procedure for massive weight loss. Approximately one year later after a 160 pound weight loss she presented for abdominoplasty and liposuction. After appropriate medical clearance, the procedure was performed in a hospital setting with an overnight stay. At six months post