Breast Reconstruction: Tissue Expander Based Reconstruction
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Transcript of Breast Reconstruction: Tissue Expander Based Reconstruction
Breast Breast Reconstruction:Reconstruction:
Tissue Expander Tissue Expander
Based ReconstructionBased ReconstructionMichael J Bass, MD, JDMichael J Bass, MD, JD
Plastic SurgeonPlastic Surgeonwww.drmichaeljbass.comwww.drmichaeljbass.com
Michael J Bass Plastic Surgery, Michael J Bass Plastic Surgery, PLLCPLLC
Premastectomy EvaluationPremastectomy Evaluation► 40 year old female 40 year old female
status post right status post right breast lumpectomy breast lumpectomy for DCISfor DCIS
► Tested BRCA-1 (+)Tested BRCA-1 (+)►Mother died at age Mother died at age
60 (ovarian CA)60 (ovarian CA)► Status post pan Status post pan
hysterectomyhysterectomy
3/31/2010
Preoperative CounselingPreoperative Counseling►Patient counseled Patient counseled
on implant based on implant based reconstruction reconstruction versus versus autologous based autologous based reconstructionreconstruction
►After weighing all After weighing all the pros and cons the pros and cons of each, patient of each, patient decides on decides on implant based implant based reconstructionreconstruction
Immediate Reconstruction at Immediate Reconstruction at Time of Bilateral Mastectomies Time of Bilateral Mastectomies
with Tissue Expanders and with Tissue Expanders and Acellular Dermal MatrixAcellular Dermal Matrix
4/15/2010
Maximal Expansion to 800 Maximal Expansion to 800 cccc’’ss
6/1/2010
Post TE Removal, Permanent Post TE Removal, Permanent Implant Placement 700 ccImplant Placement 700 cc’’ss
7/21/2010
Original mastectomy scar used every time for reentry to breast pockets; no new incisions used
Left Capsulotomy, IMF Left Capsulotomy, IMF LoweringLowering
10/25/2011
Right CapsulotomyRight Capsulotomy
1/21/2011
Bilateral Nipple Reconstruction: Bilateral Nipple Reconstruction: Modified Skate FlapsModified Skate Flaps
3/10/2011
Foam protectors around reconstructed nipples
Bilateral Areolar TattooingBilateral Areolar Tattooing
11/15/2011
Pre and Post ReconstructionPre and Post Reconstruction
3/31/2010 – 12/9/2011: 20 months (618 days), 6 surgeries
Michael J Bass, MD, Michael J Bass, MD, JDJD
Plastic SurgeonPlastic Surgeonwww.drmichaeljbass.comwww.drmichaeljbass.com