Breast Reconstruction

Plastic Surgery Northwest in Spokane provides exceptional reconstructive options for women affected by breast cancer. Learn more about breast reconstruction.

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Facial Injuries and Deformities

At Plastic Surgery Northwest in Spokane, we provide many options for treating facial injuries and deformities. An individual consultation is needed to assess the injured area. We offer virtually all forms of facial reconstruction including: nose reshaping, fracture fixation, scalp injuries, correction of cranial defects, scar revisions, fat grafting, eyelid surgery, ear surgery, and more.

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Breast Reduction

Women may desire smaller breasts to relieve discomfort, including breast, shoulder, or neck pain, and to attain balance between their breasts and the rest of their physique. Breast reduction can address these concerns.

Large breasts may make you self conscious and may keep you from fitting into clothes that you want to wear. They may also keep you from participating in activities that you want to do, like running. Breasts may be reduced and lifted to provide you with more shapely and comfortable breasts and a more balanced figure.

At Plastic Surgery Northwest in Spokane, we understand that patients who undergo breast reduction surgery frequently are seeking relief from physical symptoms caused by the excessive weight of large breasts. Breast reduction can often solve these problems as well as improve the size and shape of your breasts.

The most common method of reducing the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision follows the natural curve of the breast crease. After excess breast tissue, fat, and skin are removed, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour under the arm.

Like the breast lift, the incisions from your breast reduction surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Fortunately, the incisions for breast reduction are in locations easily concealed by clothing. It may take some time to adjust to your new body image; most women eventually become comfortable with their smaller breasts and feel very pleased with the results of their surgery.

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Skin Cancer

Skin cancer is a disease in which malignant (cancer) cells form in the tissues of the skin.

The skin has several layers, but the two main layers are the epidermis (upper or outer layer) and the dermis (lower or inner layer). There are several types of cancer that start in the skin. The most common types are basal cell carcinoma and squamous cell carcinoma, which are non-melanoma skin cancers. The least common, but most deadly of the skin cancers, is melanoma. This is skin cancer that has developed from pigmented skin cells.

Treatment options depend on the stage of the cancer (whether it has grown deeper into the skin or spread to other places in the body), the type of cancer, the size and location of the tumor and the patient’s general health. Treatment is usually excision, or surgical removal of the cancer cells in a procedure that removes the lesion with a certain rim, or margin, of normal tissue around it. Depending on the type and stage of skin cancer, lymph nodes may also have to be removed for analysis.

The biggest risk factor for skin cancer is a personal history of previous skin cancer. People who have had skin cancer should get regular check ups with a dermatologist to evaluate any new lesions. At Plastic Surgery Northwest in Spokane, the treatment plan for skin cancer is specific to the individual and will be planned and discussed with you at the time of your consultation.

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Congenital (Pediatric) Anomalies

Children can be born with, or develop, differences that would benefit from surgical correction.  Some of these differences occur during development, including extra or fused fingers or toes, or digits with an unusual shape.  Other congenital differences include nevi (pigmented skin patches), cysts, or unusual collections of blood vessels.  Sometimes children inherit an appearance that may not be desired, such as prominent ears.

Surgery may be a good option for children with these and other concerns.  Your child’s candidacy for surgery will be assessed by your surgeon and discussed at length with you.  Your child may require dressing changes or other care after the procedure.  The type and length of anticipated recovery will be discussed with you prior to surgery.

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Hand Reconstruction
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Complex Reconstruction

The term plastic surgery is derived from the Greek word ‘plastikos’ which means to bend or to mold.  Since ancient times plastic surgeons have been tasked with the challenge of repairing or reconstructing difficult birth defects, mutilating injuries from trauma, and extirpative surgical operations  for cancer removal.  These surgical techniques can be applied throughout the body, from head to toe.  Well trained plastic surgeons can repair difficult scalp and skull injuries as well as transplant a great toe to reconstruct the thumb.  A variety of muscle and skin flaps have been described and developed so that virtually any part of the body can be covered with well vascularized tissue.  This includes the head and neck region, breast cancer reconstruction, the torso including the perineum, were anal and vaginal cancer excision typically require repair with tissue flaps, upper and lower extremity reconstruction, which oftentimes saves the patient from having an amputation of a limb.

The surgeons at Plastic Surgery Northwest have performed all of the procedures described above. In addition, we are the only plastic surgery group that specializes in microsurgery, the surgical technique that repairs arteries, veins, and nerves with the help of high powered microscopes and suture material finer than human hair.

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