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Dr. Wheeler: Tissue Expander

Before

1-Tissue-Expander-Breast-Reconstruction-before-photo-by-Dr.-Pannucci-in-Spokane-WA-scaled.
3-Tissue-Expander-Breast-Reconstruction-before-photo-by-Dr.-Pannucci-in-Spokane-WA-scaled.

After

2-Tissue-Expander-Breast-Reconstruction-after-photo-by-Dr.-Pannucci-in-Spokane-WA-scaled.j
4-Tissue-Expander-Breast-Reconstruction-after-photo-by-Dr.-Pannucci-in-Spokane-WA-scaled.j

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
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 1209

Before and after nipple sparing mastectomy and staged, implant-based breast reconstruction with tissue expanders and AlloDerm followed by device exchange to 415 mL smooth, round full profile silicone gel implants. #plasticsurgerynorthwest breast reconstruction implant breast reconstruction breast cancer breast cancer journey breast cancer survivor.

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

3182021-2of4.jpg
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.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 1251

36 year old with Implant based reconstruction following radiation treatment with use of tissue expanders.

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.

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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: 22767575

Surgeon: Chad K. Wheeler, MD

​

Surgery: Left placement of tissue expanders following left nipple sparing mastectomy and left placement of AlloDerm for soft tissue reinforcement of breast. 3 months later followed by left tissue expander removal and replacement with silicone implant to match right breast

 

Diagnosis: Left breast cancer, left axillary deformity

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 22745858

Surgeon: Chad K. Wheeler, MD

 

Surgery: Bilateral breast reconstruction using DIEP flaps with abdominal mesh placement for reinforcement of abdominal wall, followed by revisions and fat grafting from flank to breasts, followed by nipple reconstruction and areola tattooing.

​

Diagnosis: Breast Cancer

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 22764843

Surgeon: Chad K. Wheeler, MD

​

Surgery:  Bilateral placement of tissue expanders following bilateral nipple taking mastectomy and bilateral placement of AlloDerm for soft tissue reinforcement of breast. 3 months later followed by bilateral tissue expander removal and replacement with silicone implants

​

Diagnosis: Right breast cancer, Bilateral axillary defects

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 1342

Surgery: Bilateral placement of tissue expanders following bilateral nipple taking mastectomy and bilateral placement of AlloDerm for soft tissue reinforcement of breast. 3 months later followed by bilateral tissue expander removal and replacement with silicone implants

​

Diagnosis: Breast cancer

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 609

Surgeon: Chad K. Wheeler, MD

 

Surgery: Bilateral Breast Reconstruction using Tissue Expanders

 

Diagnosis: Breast Cancer

 

Bilateral implant based breast reconstruction following simple mastectomies. Reconstruction was done in 4 stages with procedures done approximately 3 months apart. Initial placement of tissue expanders followed by breast revisions and placement of permanent implants, followed by nipple reconstruction and the final stage of nipple tattooing.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 608

Surgeon: Chad K. Wheeler, MD

 

Surgery: Bilateral Nipple Sparing Mastectomies with immediate Breast Reconstruction using Tissue Expanders

 

Diagnosis: Breast Cancer

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 607

Surgeon: Chad K. Wheeler, MD

 

Surgery: Breast Reconstruction using Tissue Expanders

 

Diagnosis: Breast Cancer

 

Bilateral implant based breast reconstruction using done in 4 stages with approximately 3 months in between each procedure. Initial placement of tissue expanders followed by breast revisions and placement of permanent implants, followed by nipple reconstruction and additional revisions with fat grafting, followed with the final step of 3D nipple tattooing.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 606

Surgeon: Chad K. Wheeler, MD

 

Surgery: Breast Reconstruction using tissue expanders

 

Diagnosis: Breast Cancer

 

Bilateral implant based breast reconstruction following bilateral simple mastectomies. 4 stages of reconstruction staged approximately 3 months in between each procedure. Tissue Expanders and Alloderm placement followed by bilateral breast revisions and placement of permanent silicone implants, followed by nipple reconstruction and additional revisions with fat grafting, followed by the final stage of nipple tattooing.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 605

Surgeon: Chad K. Wheeler, MD

 

Surgery: Breast Reconstruction using Tissue Expanders

 

Diagnosis: Breast Cancer

 

Bilateral implant based breast reconstruction using done in 4 stages with approximately 3 months in between each procedure. Initial placement of tissue expanders followed by breast revisions and placement of permanent implants, followed by nipple reconstruction and additional revisions with fat grafting, followed with the final step of 3D nipple tattooing.

Before

Breast Reconstruction
Breast Reconstruction

After

Breast Reconstruction
Breast Reconstruction

Case: 604

Surgeon: Chad K. Wheeler, MD

 

Surgery: Bilateral Breast Reconstruction with Tissue Expanders and Alloderm

 

Diagnosis: Breast Cancer

Image by Greg Rosenke
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