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BREAST RECONSTRUCTION BREAST AUGMENTATION AND REDUCTION.

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Presentation on theme: "BREAST RECONSTRUCTION BREAST AUGMENTATION AND REDUCTION."— Presentation transcript:

1 BREAST RECONSTRUCTION BREAST AUGMENTATION AND REDUCTION

2 BREAST RECONSTRUCTION  Flap reconstruction: Pg 306 Tissue from back, butt, thigh or: Transverse Rectus Abdominus Myocutaneous (TRAM) flap More extensive surgery; leaves defect at donor site May be the only alternative if major scarring resulted from radiation  Skin Expansion Tissue Expander placed under muscle Several months of injections then replaced with permanent implants No new incision – use original mastectomy scar

3 Nipple Reconstruction  Graft may be taken from groin, axilla or other nipple. Can cause problems  Advanced procedure: cut skin in shape of a Skate, twist and mold in shape of nipple  Areola done at tattoo parlor

4 PROBLEMS WITH RECONSTRUCTION IIMPLANT Implant leakage Capsule formation Change in position of implant FFLAP SURGERY Loss of flap Weakness of donor site Hernia formation Irregularity of breast and blood loss Two scars

5 BREAST AUGMENTATION  Pocket created under breast tissue/muscle  Refer to table pg 303  Subglandular Capsular hardening of implant in the past Now textured; also round or pear  Submuscular Change in shape when pectoral muscle contracted Implant remains high (Snoopy Breast)

6 BREAST AUGMENTATION  Risks: Bleeding, infection, scar and numbness or change in feeling Hardening of capsule Leakage  Post-op: 1-2 weeks

7 BREAST REDUCTION  Scarring Extensive  Less painful since nerves and breast skin already stretched due to weight  1-2 week recovery; no strenuous activity for 6 weeks  3-5 hr procedure  Keyhole incision around nipple, extends downward, follows natural curve of crease beneath breast  Fat, skin, glandular removed and nipple and areola re-positioned.

8 MASTOPEXY  Skin tightening, no implant  Upside down T; similar to Breast Reduction  1-2 week recovery

9 POLAND’S SYNDROME

10

11 PRE-PECTORAL SPONGES PLACED 40 YRS EARLIER

12 DIRECT INJECTION OF SILICONE

13

14 Percutaneous Silicone Injections: Siliconegranulomas/Rim Calcification

15 FIBROUS ENCAPSULATION

16 CAPSULAR CONTRACTION OF LT SILICONE IMPLANT

17 DEFLATED

18 HERNIA

19 SILICONE LEAK

20 INTACT IMPLANT

21 WRINKLES OR BULGES

22 SILICONE INTRACAPSULAR LEAK

23 SILICONE RUPTURE NOT IDENTIFIED ON US


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