Web tm implant based breast reconstruction

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  • 1. Breast Reconstruction:Tissue Expander BasedReconstruction Michael J Bass, MD, JD Plastic Surgeon www.drmichaeljbass.comMichael J Bass Plastic Surgery,PLLC

2. Premastectomy Evaluation 40 year old female status post right breast lumpectomy for DCIS Tested BRCA-1 (+) Mother died at age 60 (ovarian CA) Status post pan hysterectomy 3/31/2010 3. Preoperative Counseling Patient counseled After weighing all on implant basedthe pros and cons reconstructionof each, patient versus autologous decides on implant based based reconstructionreconstruction 4. Immediate Reconstruction at Time of Bilateral Mastectomies with TissueExpanders and Acellular Dermal Matrix4/15/2010 5. Maximal Expansion to 800 ccs6/1/2010 6. Post TE Removal, Permanent Implant Placement 700 ccs 7/21/2010 Original mastectomy scar used every time for reentry to breast pockets; no new incisions used 7. Left Capsulotomy, IMF Lowering 10/25/2011 8. Right Capsulotomy1/21/2011 9. Bilateral Nipple Reconstruction:Modified Skate Flaps 3/10/2011 Foam protectors around reconstructed nipples 10. Bilateral Areolar Tattooing11/15/2011 11. Pre and Post Reconstruction 3/31/2010 12/9/2011: 20 months (618 days), 6 surgeries 12. Michael J Bass, MD, JD Plastic Surgeonwww.drmichaeljbass.com