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Dr. Pannucci: Tissue Expander Reconstruction

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 4815

The patient is  55 year old and had right and left nipple sparing mastectomies for breast cancer, and a two stage reconstruction with tissue expanders and implants (R 520 SCM, L 600 SCM).  She is eight months from Stage I and four months from Stage II in the photos.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 3602

59 year old woman with left breast cancer, who is eight months from Stage I nipple sparing mastectomy through lateral radial incision and tissue expanders, and 3.5 months from Stage II tissue expander to implant exchange.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 2580

31 year old woman with BRCA1 who had nipple sparing mastectomy and two stage tissue expander to implant (435cc silicone moderate profile) reconstruction. Photos at 4 months from Stage II.

Before

Breast Reconstruction

After

Breast Reconstruction

Case: 589

Patient: 51 year old with breast cancer desiring bilateral mastectomy

 

Operation: Stage I bilateral pre-pectoral tissue expander with acellular dermal matrix; Stage II bilateral tissue expander to silicone implant exchange

 

Photos: 6 months after Stage II

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 2409

51 year old woman who had nipple sparing mastectomies and two-stage breast reconstruction with tissue expanders and implants. Final photos are four months from Stage II.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 1186

57 year old woman who had left breast cancer and bilateral nipple sparing mastectomies through an inframammary fold approach. Stage I tissue pre-pectoral tissue expanders and Stage II tissue expander to implant exchange with fat grafting. Photos at 6 months from Stage I and 10 weeks from Stage II.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 1857

59 year old woman with preexisting submuscular saline implants who had a left nipple sparing mastectomy, and staged tissue expander to permanent silicone implant with Strattice mesh. Photos are 3.5 months from permanent implant placement.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 1522

45 year old woman who had delayed breast reconstruction with Stage I tissue expander placement and Stage II exchange for permanent silicone implants.  Photos at 4 months from Stage II

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 2175

51 year old woman who had Stage I prepectoral tissue expander placement at the time of mastectomy, and Stage II tissue expander to silicone implant exchange. Final photos are at 3 months after Stage II.

Before

Breast Reconstruction

After

Breast Reconstruction

Case: 583

Patient: 48 year old with left breast cancer

 

Operation: Stage I left mastectomy and pre-pectoral tissue expander with acellular dermal matrix; Stage II tissue expander to silicone implant exchange and right mastopexy

 

Photos: 7 months from Stage II

Before

Breast Reconstruction

After

Breast Reconstruction

Case: 584

Patient: 38 years old, history of right breast cancer, bilateral mastectomy, bilateral implant reconstruction and right radiation.

Operation: Stage I right latissimus muscle/skin flap and tissue expander. Stage II right tissue expander to implant, left implant up-size.

Photos: 2 years

Before

Breast Reconstruction

After

Breast Reconstruction

Case: 585

Patient: 37 year old with history of left breast cancer treated with lumpectomy and radiation. Now with recurrent left breast cancer.

 

Operation: Stage I left mastectomy, latissimus muscle/skin flap, and tissue expander. Stage II left tissue expander to implant and right breast augmentation for symmetry.

 

Photos: 2 months

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 1241

46 year old woman with breast cancer, who had two staged reconstruction with tissue expanders and permanent silicone implants.  Photos at 4 months after Stage II.

Image by Greg Rosenke
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