Breast Reconstruction: Tissue Expander Based Reconstruction

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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, PLLC

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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
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Preoperative Counseling

• 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

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Immediate Reconstruction at Time of Bilateral
Mastectomies with Tissue Expanders and Acellular
Dermal Matrix
4/15/2010
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Maximal Expansion to 800 ccs
6/1/2010
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Post TE Removal, Permanent Implant Placement 700
ccs
7/21/2010 Original mastectomy scar used every
time for reentry to breast pockets no new
incisions used
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Left Capsulotomy, IMF Lowering
10/25/2011
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Right Capsulotomy
1/21/2011
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Bilateral Nipple Reconstruction Modified Skate
Flaps
3/10/2011 Foam protectors around reconstructed
nipples
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Bilateral Areolar Tattooing
11/15/2011
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Pre and Post Reconstruction
3/31/2010 12/9/2011 20 months (618 days), 6
surgeries
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Michael J Bass, MD, JDPlastic Surgeon

• www.drmichaeljbass.com