Breast Augmentation

Alfonso Oliva, MD FACS

SURGERY: Bilateral Subpectoral, Endoscopic Assisted, Transaxillary Breast Augmentation with Saline Implants

Before & Afters

AGE: 19

DIAGNOSIS: Desire for Larger Breasts

19 yo , 6 months following subpectoral,  endoscopic assisted transaxillary breast augmentation with smooth saline implants, 270cc.

Breast Reconstruction

Alfonso Oliva, MD FACS

SURGERY: Bil Breast Recon Microvascular TRAM Flaps

Before & Afters

AGE: 45

DIAGNOSIS: Breast Cancer

45 yo with multifocal ductal carcinoma in situ of the right breast. Lumpectomy failed to obtain clear margins and the patient elected to have a right mastectomy and prophylactic left mastectomy. Breast reconstruction was performed at the same time with bilateral muscle sparing free microvascular TRAM flaps. Five months later she underwent nipple and areolar reconstruction and later tattooing. Photos are taken 3 years after reconstruction.

Breast Reconstruction - Tissue Based

Breast Reconstruction

Alfonso Oliva, MD FACS

SURGERY: Bil breast reconstruction with DIEP microvascular flaps

Before & Afters

AGE: 51

DIAGNOSIS: Breast Cancer

51 yo patient who felt a right breast lump on her own examination and was found to have invasive ductal carcinoma. Initially, her physicians felt she could be treated with breast conservation lumpectomy. However, the surgical margins were positive for carcinoma and the patient chose to have a bilateral mastectomy and immediate reconstruction. The breasts were reconstructed with a bilateral muscle sparing free microvascular TRAM flaps. Postoperative photos are taken 2-1/2 years postoperatively.

Breast Lift

Emily A. Williams, MD

SURGERY: Bilateral Wise Pattern Mastopexy

Before & Afters

AGE: 51

DIAGNOSIS: Bilateral Breast Ptosis

Photos taken 2 months following surgery.

Liposuction

Breast Lift

Body Contouring

Tummy Tuck

Mommy Make Over

Alfonso Oliva, MD FACS

SURGERY: Lower Body Lift followed one year later with Bilateral Breast Lift

Before & Afters

AGE: 53

DIAGNOSIS: Lost of Body Contour Following Major Weight Loss

53-year-old patient with massive weight loss of 140 pounds underwent lower body lift. One year later she underwent mastopexy without an implant and suspension of the breast tissue and reshaping. Photographs are taken in 1 year.

Breast Reconstruction

Alfonso Oliva, MD FACS

SURGERY: Bil Breast Recon with Microvascular TRAM Flap

Before & Afters

AGE: 56

DIAGNOSIS: Breast Cancer

56-year-old patient presented with T2N1 left breast cancer and underwent adjuvant chemotherapy, modified radical mastectomy of the right breast and prophylactic mastectomy of the left breast and adjuvant radiotherapy. She underwent bilateral microvascular DIEP flap breast reconstruction. Photographs are taken in 1 year.

Breast Reduction

Alfonso Oliva, MD FACS

SURGERY: Bilateral Wise Pattern Breast Reduction

Before & Afters

AGE: 51

DIAGNOSIS: Symptomatic Macromastia and Breast Asymmetry

51-year-old patient with history of migraine headaches and neck discomfort wished to have breast reduction in the hopes of ameliorating her symptoms. Note the asymmetry between the 2 breasts. The patient is 5 foot 7 inches tall and weighs 200 pound. She underwent Weiss pattern breast reduction of 1086 g from the right breast (2.40 pounds) and 798 g from the left breast (1.76 pounds). Photographs are taken at 1 year postoperatively

Breast Augmentation

Alfonso Oliva, MD FACS

SURGERY: Bilateral, Subpectoral, Endoscopic Assisted Transaxillary Breast Augmentation with Silicone Implants

Before & Afters

AGE: 30

DIAGNOSIS: Desire for Larger Breasts

30 yo , 15 months following subpectoral,  endoscopic assisted transaxillary breast augmentation with smooth silicone implants, 304cc.

Breast Augmentation

Chad K. Wheeler, MD

SURGERY: Split muscle breast augmentation from an inframammary fold incision using textured, round, silicone implants (375 cc on both sides.)

Before & Afters

AGE: 37

DIAGNOSIS: Desire for larger breasts

Split muscle breast augmentation from an inframammary fold incision using textured, round, silicone implants (375 cc on both sides.)

Breast Reconstruction

Chad K. Wheeler, MD

SURGERY: Bilateral Breast Reconstruction using DIEP and mesh followed by bilateral nipple reconstruction and fat grafting to breasts

Before & Afters

AGE: 39

DIAGNOSIS: Breast Cancer

Bilateral delayed breast reconstruction using free abdominal tissue.  Patient was 11 months out from bilateral mastectomies, chemotherapy and radiation.  Revisions and nipple reconstruction were done during separate procedures.

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