Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon ...

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

Transcript of Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon ...

Page 1: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Breast Breast Reconstruction:Reconstruction:

Tissue Expander Tissue Expander

Based ReconstructionBased Reconstruction

Michael J Bass, MD, JDMichael J Bass, MD, JD

Plastic SurgeonPlastic Surgeon

www.drmichaeljbass.comwww.drmichaeljbass.com

Michael J Bass Plastic Surgery, Michael J Bass Plastic Surgery, PLLCPLLC

Page 2: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Premastectomy EvaluationPremastectomy Evaluation

► 40 year old female 40 year old female status post right status post right breast lumpectomy breast lumpectomy for DCISfor DCIS

► Tested BRCA-1 (+)Tested BRCA-1 (+)►Mother died at age Mother died at age

60 (ovarian CA)60 (ovarian CA)► Status post pan Status post pan

hysterectomyhysterectomy

3/31/2010

Page 3: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Preoperative CounselingPreoperative Counseling

►Patient counseled Patient counseled on implant based on implant based reconstruction reconstruction versus versus autologous based autologous based reconstructionreconstruction

►After weighing all After weighing all the pros and cons the pros and cons of each, patient of each, patient decides on decides on implant based implant based reconstructionreconstruction

Page 4: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Immediate Reconstruction at Immediate Reconstruction at Time of Bilateral Mastectomies Time of Bilateral Mastectomies

with Tissue Expanders and with Tissue Expanders and Acellular Dermal MatrixAcellular Dermal Matrix

4/15/2010

Page 5: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Maximal Expansion to 800 Maximal Expansion to 800 cccc’’ss

6/1/2010

Page 6: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Post TE Removal, Permanent Post TE Removal, Permanent Implant Placement 700 ccImplant Placement 700 cc’’ss

7/21/2010

Original mastectomy scar used every time for reentry to breast pockets; no new incisions used

Page 7: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Left Capsulotomy, IMF Left Capsulotomy, IMF LoweringLowering

10/25/2011

Page 8: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Right CapsulotomyRight Capsulotomy

1/21/2011

Page 9: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Bilateral Nipple Reconstruction: Bilateral Nipple Reconstruction: Modified Skate FlapsModified Skate Flaps

3/10/2011

Foam protectors around reconstructed nipples

Page 10: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Bilateral Areolar TattooingBilateral Areolar Tattooing

11/15/2011

Page 11: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Pre and Post ReconstructionPre and Post Reconstruction

3/31/2010 – 12/9/2011: 20 months (618 days), 6 surgeries

Page 12: Breast Reconstruction: Tissue Expander Based Reconstruction Michael J Bass, MD, JD Plastic Surgeon  Michael J Bass Plastic Surgery,

Michael J Bass, MD, Michael J Bass, MD, JDJD

Plastic SurgeonPlastic Surgeon

www.drmichaeljbass.comwww.drmichaeljbass.com