Breast Reconstruction 2 Stage procedure with Tissue Expanders and Implants

A 47 year old pre-menopausal white female with a diagnosis of left breast cancer, had decided to have Bilateral Breast Mastectomy with immediate reconstruction. Patient has a very strong family history of cancer. Our patient was found to have calcifications in the lower aspect of the Left breast on mammo and underwent a stereotactic core biopsy that revealed DCIS. An additional MRI was also performed which showed the DCIS in the lower outer aspect of the left breast and also some enhancement in the right breast, however right breast was found to be benign. At the time of consultation we discussed with the patient that she would be most suited for Tissue Expander placement due to the lack of skin laxity of bilateral breasts. If she had wanted to remain the same breast size we would use the direct top implant surgical approach. However, if she wanted to increase her breast size her current skin would not allow this. Since she was wanting to achieve a slightly larger breast size, placing tissue expanders would likely give her the result she is seeking. We explained to patient that this will require a 2-step procedure. Patient had breast mastectomy with insertion of tissue expander in August then went on to remove the tissue expanders with placement of silicone gel breast implants in December. Patient is extremely happy with her breast reconstruction. More

A 47 year old pre-menopausal white female with a diagnosis of left breast cancer, had decided to have Bilateral Breast Mastectomy with immediate reconstruction. Patient has a very strong family history of cancer. Our patient was found to have calcifications in the lower aspect of the Left breast on mammo and underwent a stereotactic core biopsy that revealed DCIS. An additional MRI was also performed which showed the DCIS in the lower outer aspect of the left breast and also some enhancement in the right breast, however right breast was found to be benign. At the time of consultation we discussed with the patient that she would be most suited for Tissue Expander placement due to the lack of skin laxity of bilateral breasts. If she had wanted to remain the same breast size we would use the direct top implant surgical approach. However, if she wanted to increase her breast size her current skin would not allow this. Since she was wanting to achieve a slightly larger breast size, placing tissue expanders would likely give her the result she is seeking. We explained to patient that this will require a 2-step procedure. Patient had breast mastectomy with insertion of tissue expander in August then went on to remove the tissue expanders with placement of silicone gel breast implants in December. Patient is extremely happy with her breast reconstruction. More

A 47 year old pre-menopausal white female with a diagnosis of left breast cancer, had decided to have Bilateral Breast Mastectomy with immediate reconstruction. Patient has a very strong family history of cancer. Our patient was found to have calcifications in the lower aspect of the Left breast on mammo and underwent a stereotactic core biopsy that revealed DCIS. An additional MRI was also performed which showed the DCIS in the lower outer aspect of the left breast and also some enhancement in the right breast, however right breast was found to be benign. At the time of consultation we discussed with the patient that she would be most suited for Tissue Expander placement due to the lack of skin laxity of bilateral breasts. If she had wanted to remain the same breast size we would use the direct top implant surgical approach. However, if she wanted to increase her breast size her current skin would not allow this. Since she was wanting to achieve a slightly larger breast size, placing tissue expanders would likely give her the result she is seeking. We explained to patient that this will require a 2-step procedure. Patient had breast mastectomy with insertion of tissue expander in August then went on to remove the tissue expanders with placement of silicone gel breast implants in December. Patient is extremely happy with her breast reconstruction. More

A 47 year old pre-menopausal white female with a diagnosis of left breast cancer, had decided to have Bilateral Breast Mastectomy with immediate reconstruction. Patient has a very strong family history of cancer. Our patient was found to have calcifications in the lower aspect of the Left breast on mammo and underwent a stereotactic core biopsy that revealed DCIS. An additional MRI was also performed which showed the DCIS in the lower outer aspect of the left breast and also some enhancement in the right breast, however right breast was found to be benign. At the time of consultation we discussed with the patient that she would be most suited for Tissue Expander placement due to the lack of skin laxity of bilateral breasts. If she had wanted to remain the same breast size we would use the direct top implant surgical approach. However, if she wanted to increase her breast size her current skin would not allow this. Since she was wanting to achieve a slightly larger breast size, placing tissue expanders would likely give her the result she is seeking. We explained to patient that this will require a 2-step procedure. Patient had breast mastectomy with insertion of tissue expander in August then went on to remove the tissue expanders with placement of silicone gel breast implants in December. Patient is extremely happy with her breast reconstruction. More

A 47 year old pre-menopausal white female with a diagnosis of left breast cancer, had decided to have Bilateral Breast Mastectomy with immediate reconstruction. Patient has a very strong family history of cancer. Our patient was found to have calcifications in the lower aspect of the Left breast on mammo and underwent a stereotactic core biopsy that revealed DCIS. An additional MRI was also performed which showed the DCIS in the lower outer aspect of the left breast and also some enhancement in the right breast, however right breast was found to be benign. At the time of consultation we discussed with the patient that she would be most suited for Tissue Expander placement due to the lack of skin laxity of bilateral breasts. If she had wanted to remain the same breast size we would use the direct top implant surgical approach. However, if she wanted to increase her breast size her current skin would not allow this. Since she was wanting to achieve a slightly larger breast size, placing tissue expanders would likely give her the result she is seeking. We explained to patient that this will require a 2-step procedure. Patient had breast mastectomy with insertion of tissue expander in August then went on to remove the tissue expanders with placement of silicone gel breast implants in December. Patient is extremely happy with her breast reconstruction. More