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Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon www.drmichaeljbass.com Michael J Bass Plastic Surgery,

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Presentation on theme: "Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon www.drmichaeljbass.com Michael J Bass Plastic Surgery,"— Presentation transcript:

1 Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon www.drmichaeljbass.com Michael J Bass Plastic Surgery, PLLC

2 Premastectomy Evaluation 40 year old female status post right breast lumpectomy for DCIS Tested BRCA-1 (+) Mother died at age 60 (ovarian CA) Status post pan hysterectomy 3/31/2010

3 Preoperative Counseling Patient counseled on implant based reconstruction versus autologous based reconstruction Patient counseled on implant based reconstruction versus autologous based reconstruction After weighing all the pros and cons of each, patient decides on implant based reconstruction

4 Immediate Reconstruction at Time of Bilateral Mastectomies with Tissue Expanders and Acellular Dermal Matrix 4/15/2010

5 Maximal Expansion to 800 cc s 6/1/2010

6 Post TE Removal, Permanent Implant Placement 700 cc s 7/21/2010 Original mastectomy scar used every time for reentry to breast pockets; no new incisions used

7 Left Capsulotomy, IMF Lowering 10/25/2011

8 Right Capsulotomy 1/21/2011

9 Bilateral Nipple Reconstruction: Modified Skate Flaps 3/10/2011 Foam protectors around reconstructed nipples

10 Bilateral Areolar Tattooing 11/15/2011

11 Pre and Post Reconstruction 3/31/2010 – 12/9/2011: 20 months (618 days), 6 surgeries

12 Michael J Bass, MD, JD Plastic Surgeon www.drmichaeljbass.com


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