Breast Augmentation

Alfonso Oliva, MD FACS

SURGERY: Bilateral Subfascial Breast Augmentation Through an Inframammary Fold Incision with Silcone Implants

Before & Afters

AGE: 37

DIAGNOSIS: Desire for Larger Breasts

37 yo , 8 months  following subfascial breast augmentation with smooth 265 cc silicone implants  placed by an inframammary incision.

Breast Augmentation

Alfonso Oliva, MD FACS

SURGERY: Subfascial Breast Augmentation with Silicone Implants Place by an Inframammary Incision

Before & Afters

AGE: 37

DIAGNOSIS: Desire for Larger Breasts

Breast Reconstruction

Alfonso Oliva, MD FACS

SURGERY: Bil Breast Recon muscle sparing free microvascular TRAM flaps

Before & Afters

AGE: 58

DIAGNOSIS: Breast Cancer

58 yo who five years earlier underwent bilateral mastectomy for Stage II left breast cancer. We proceeded with delayed breast reconstruction with muscle sparing free microvascular TRAM flaps. Photos are taken one year later. Patient does not wish nipple reconstruction.

Breast Reduction

Alfonso Oliva, MD FACS

SURGERY: Bilateral Breast Reduction, Wise Pattern

Before & Afters

AGE: 65

DIAGNOSIS: Symptomatic Macromastia

65-year-old patient with long-standing symptomatic macromastia who underwent breast reduction utilizing a Wise skin pattern. She underwent reduction of 1011 g (2.23 lb) from the right breast and 980 g ( 2.16) from the left breast. Photographs taken at 1 year.

Breast Reconstruction - Tissue Based

Breast Reconstruction

Chad K. Wheeler, MD

SURGERY: Bilateral Prophylactic DIEP Flap Breast Reconstruction Following Bilateral Simple Mastectomies

Before & Afters

AGE: 37

DIAGNOSIS: BRCA 2+ Gene Mutation

Bilateral mastectomies with immediate breast reconstruction using TRAM flap.  Followed 4 months later with breast revisions and cosmetic liposuction.  Followed 3 months later with Nipple Reconstruction and finished with Areola Tattooing.

Breast Reconstruction

Alfonso Oliva, MD FACS

SURGERY: Bil Breast Recon muscle sparing free TRAM flaps

Before & Afters

AGE: 47

DIAGNOSIS: Breast Cancer

47 yo with invasive right breast cancer, treated with bilateral mastectomy and immediate muscle sparing free TRAM flaps. One year later she underwent bilateral nipple reconstruction. Photos taken 3 years later.

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 Augmentation

Alfonso Oliva, MD FACS

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

Before & Afters

AGE: 25

DIAGNOSIS: Desire for Larger Breasts

25 yo , 4 months  following subpectoral,  endoscopic assisted transaxillary breast augmentation with smooth saline implants, 250 cc.

Breast Reconstruction

Alfonso Oliva, MD FACS

SURGERY: Bil breast recon with microvascular TRAM flaps

Before & Afters

AGE: 62

DIAGNOSIS: Breast Cancer

62 yo was found to have microcalcifications on routine mammography. Needle biopsy revealed high grade ductal carcinoma in situ. Lumpectomy failed to provide safe negative margins. The patient elected to undergo bilateral mastectomy and immediate muscle sparing free microvascular TRAM flaps. She did not wish to have nipple reconstruction. Photos are taken one year later.

Breast Reconstruction

Alfonso Oliva, MD FACS

SURGERY: Bil Breast Recon Tram flap with microvascular Anastomoses

Before & Afters

AGE: 55

DIAGNOSIS: Breast Cancer

55 yo who had previously lost 80 lbs. from gastric bypass surgery developed right breast cancer treated with lumpectomy. The surgical margins were positive and the patient elected to proceed with a right completion mastectomy and prophylactic left mastectomy. Breast reconstruction was accomplished at the same time with a left DIEP free flap and a right muscle sparing free TRAM flap. Microvascular anastomoses were to the internal mammary vessels. Nipple areolar reconstruction was performed 6 months later. Postoperative photos are taken 1 year following her mastectomies.

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