Traditional Implant and Allograft Sling Reconstruction of the Breast Michael Rosenberg, MD,FACS...

Traditional Implant and Allograft Sling Traditional Implant and Allograft Sling Reconstruction of the BreastReconstruction of the Breast

Michael Rosenberg, MD,FACSMichael Rosenberg, MD,FACS

Chief of Plastic SurgeryChief of Plastic Surgery

Northern Westchester HospitalNorthern Westchester Hospital

Mount Kisco, New YorkMount Kisco, New York

Aesthetic OncologyAesthetic Oncology

Marriage of…Marriage of…

Optimal cancer treatmentOptimal cancer treatment– And…And…

Immediate reconstructive surgeryImmediate reconstructive surgery– Both with an eye to AestheticsBoth with an eye to Aesthetics

Focus on the person, not the diseaseFocus on the person, not the disease

C4YW 2014: Orlando, Florida

Patient PreferencesPatient Preferences

People are different!People are different!

Each woman comes to the decision about Each woman comes to the decision about breast cancer surgery and overall breast cancer surgery and overall treatment from her own perspectivetreatment from her own perspective

There is no absolute right or wrong There is no absolute right or wrong approach as long as survival is the sameapproach as long as survival is the same

Key is empowerment and choicesKey is empowerment and choices


Final PlanningFinal Planning

Discussion with patient, breast surgeon and Discussion with patient, breast surgeon and reconstructive surgeonreconstructive surgeon

Decision as to which type of breast surgery best Decision as to which type of breast surgery best fits the principles of aesthetic oncology for that fits the principles of aesthetic oncology for that individual:individual:– Breast conservationBreast conservation– Skin or nipple sparing mastectomySkin or nipple sparing mastectomy– Mastectomy with immediate reconstructionMastectomy with immediate reconstruction

Timing and type of ReconstructionTiming and type of Reconstruction


Relationship of the Chest Wall Muscles Relationship of the Chest Wall Muscles to the Breastto the Breast


Use of Allograft to Cover the Use of Allograft to Cover the Expander or ImplantExpander or Implant

Allograft

Expander & Allograft in placeExpander & Allograft in place

C4YW 2014: Orlando, FloridaC4YW 2014: Orlando, Florida

Memory Gel Smooth Round Memory Shape

Silicone Gel Implants

Lumpectomy and Implant Lumpectomy and Implant Augmentation in Breast ConservationAugmentation in Breast Conservation


Skin Sparing Mastectomy, Allograft and Skin Sparing Mastectomy, Allograft and Immediate ImplantsImmediate Implants


Nipple Sparing Mastectomy: Allograft Nipple Sparing Mastectomy: Allograft and Implant Reconstruction and Implant Reconstruction


Traditional Implant and Allograft Sling Reconstruction of the Breast Michael Rosenberg, MD,FACS...

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