Breast Reconstruction

Alfonso Oliva, MD FACS

SURGERY: Bil Breast Recon muscle Sparing free microvascular TRAM Flaps

Before & Afters

AGE: 38

DIAGNOSIS: Breast Cancer

38 yo with strong family history of breast cancer and two separate, positive biopsies for ductal carcinoma in situ. Patient elected to undergo bilateral mastectomy and immediate reconstruction with muscle sparing free microvascular TRAM flaps. She did not wish nipple reconstruction. Postoperative photos are taken 6 years 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.

Breast Augmentation

Chad K. Wheeler, MD

SURGERY: Bilateral Subglandular Silicone Breast Augmentation From an Inframammary Fold Incision

Before & Afters

AGE: 45

DIAGNOSIS: Desire for Larger Breasts

Breast Augmentation

Breast Lift

Breast Augmentation With Lift

Emily A. Williams, MD

SURGERY: Bilateral Split Subpectoral Breast Augmentation with Silicone Implants, Left Breast Vertical Mastopexy and Right Breast Periareolar Mastopexy

Before & Afters

AGE: 28

DIAGNOSIS: Bilateral breast hypoplasia, breast ptosis, breast assymetry

Breast Augmentation

Alfonso Oliva, MD FACS

SURGERY: Bilateral, Split Muscle Breast Augmentation with Silicone Implants

Before & Afters

AGE: 28

DIAGNOSIS: Desire for Larger Breasts

28-year-old patient requesting breast augmentation.  The patient has very thin upper pole soft tissue and therefore requires that the upper pole of the implant is placed under the muscle to avoid visibility of the implant.  Therefore,  a dual plane, muscle-split technique was implemented.  In this case the muscle was split so that the lower portion of the implant is under the breast gland while the upper portion is under the muscle.  The muscle split technique helps avoid animation deformities postoperatively.  Photographs are taken at 1 year.

Breast Augmentation

Chad K. Wheeler, MD

SURGERY: Subglandular breast augmentation with silicone implants

Before & Afters

AGE: 34

DIAGNOSIS: Bilateral Breast Hypoplasia

Breast Reconstruction – Implant Based

Breast Reconstruction

Chad K. Wheeler, MD

SURGERY: Bilateral Breast Reconstruction using Tissue Expanders

Before & Afters

AGE: 70

DIAGNOSIS: Breast Cancer

Bilateral implant based breast reconstruction following simple mastectomies.  Reconstruction was done in 4 stages with procedures done approximately 3 months apart.  Initial placement of tissue expanders followed by breast revisions and placement of permanent implants, followed by nipple reconstruction and the final stage of nipple tattooing.

Breast Augmentation

Alfonso Oliva, MD FACS

SURGERY: Subpectoral, Silicone Breast Augmentation

Before & Afters

AGE: 22

DIAGNOSIS: Desire for Larger Breasts

 

22 yo , 1 year  following subpectoral,  endoscopic assisted transaxillary breast augmentation with smooth silicone implants, 286cc.

Breast Augmentation

Emily A. Williams, MD

SURGERY: Subpectoral Breast Augmentation with Silicone Implants

Before & Afters

AGE: 52

DIAGNOSIS: Bilateral Breast Hypoplasia, Breast Asymmetry and Central Chest Nevu

Breast Reduction

Alfonso Oliva, MD FACS

SURGERY: Excision of central breast mound and liposuction of surrounding area

Before & Afters

AGE: 35

DIAGNOSIS: Gynecomastia

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