Breast reconstruction in forty-six year-old woman with expaner/implants

This forty-six year-old Tarzana woman was diagnosed with an aggressive breast cancer of the right breast. The initial plan for treatment by the oncologic breast surgeon at an outlying hospital was a lumpectomy. However, the pathology specimen came back with margins positive for cancer. She needed a mastectomy however, the location of the previous biopsy was concerning because it was so high up and far from where the mastectomy incision needed to be made, because she was not a candidate for nipple sparing mastectomy (see before picture). A successful mastecomy was performed by Dr. Lindi Vanderwalde and a prophylactic mastectomy was performed on the other side. The patient had very little skin left on the right side after the mastectomy was performed because it had to include the previous scar. She underwent bilateral tissue expander and implant reconstruction and right breast radiation treatment as well as chemotherapy. In the after picture, she is several months after nipple areolar reconstruction with local CV flaps (no skin grafts), and her reconstruction is complete with Allergan smooth round high profile silicone gel implants. The right side appears smaller and tighter due to the radiation, although a 375 cc implant was placed on the right and a 300 cc on the left. The patient is happy that she did not have to undergo a flap from somewhere else on her body. More

This forty-six year-old Tarzana woman was diagnosed with an aggressive breast cancer of the right breast. The initial plan for treatment by the oncologic breast surgeon at an outlying hospital was a lumpectomy. However, the pathology specimen came back with margins positive for cancer. She needed a mastectomy however, the location of the previous biopsy was concerning because it was so high up and far from where the mastectomy incision needed to be made, because she was not a candidate for nipple sparing mastectomy (see before picture). A successful mastecomy was performed by Dr. Lindi Vanderwalde and a prophylactic mastectomy was performed on the other side. The patient had very little skin left on the right side after the mastectomy was performed because it had to include the previous scar. She underwent bilateral tissue expander and implant reconstruction and right breast radiation treatment as well as chemotherapy. In the after picture, she is several months after nipple areolar reconstruction with local CV flaps (no skin grafts), and her reconstruction is complete with Allergan smooth round high profile silicone gel implants. The right side appears smaller and tighter due to the radiation, although a 375 cc implant was placed on the right and a 300 cc on the left. The patient is happy that she did not have to undergo a flap from somewhere else on her body. More

This forty-six year-old Tarzana woman was diagnosed with an aggressive breast cancer of the right breast. The initial plan for treatment by the oncologic breast surgeon at an outlying hospital was a lumpectomy. However, the pathology specimen came back with margins positive for cancer. She needed a mastectomy however, the location of the previous biopsy was concerning because it was so high up and far from where the mastectomy incision needed to be made, because she was not a candidate for nipple sparing mastectomy (see before picture). A successful mastecomy was performed by Dr. Lindi Vanderwalde and a prophylactic mastectomy was performed on the other side. The patient had very little skin left on the right side after the mastectomy was performed because it had to include the previous scar. She underwent bilateral tissue expander and implant reconstruction and right breast radiation treatment as well as chemotherapy. In the after picture, she is several months after nipple areolar reconstruction with local CV flaps (no skin grafts), and her reconstruction is complete with Allergan smooth round high profile silicone gel implants. The right side appears smaller and tighter due to the radiation, although a 375 cc implant was placed on the right and a 300 cc on the left. The patient is happy that she did not have to undergo a flap from somewhere else on her body. More

This forty-six year-old Tarzana woman was diagnosed with an aggressive breast cancer of the right breast. The initial plan for treatment by the oncologic breast surgeon at an outlying hospital was a lumpectomy. However, the pathology specimen came back with margins positive for cancer. She needed a mastectomy however, the location of the previous biopsy was concerning because it was so high up and far from where the mastectomy incision needed to be made, because she was not a candidate for nipple sparing mastectomy (see before picture). A successful mastecomy was performed by Dr. Lindi Vanderwalde and a prophylactic mastectomy was performed on the other side. The patient had very little skin left on the right side after the mastectomy was performed because it had to include the previous scar. She underwent bilateral tissue expander and implant reconstruction and right breast radiation treatment as well as chemotherapy. In the after picture, she is several months after nipple areolar reconstruction with local CV flaps (no skin grafts), and her reconstruction is complete with Allergan smooth round high profile silicone gel implants. The right side appears smaller and tighter due to the radiation, although a 375 cc implant was placed on the right and a 300 cc on the left. The patient is happy that she did not have to undergo a flap from somewhere else on her body. More