Innovations in Breast Reconstruction Surgery Enhance Results
Breast Reconstruction Surgery Images
Plastic surgeons for the last few years have human tissue (Acellular Dermis) available that enhances our breast reconstruction results. This material (Alloderm), made by Life Cell, gives extra coverage and support in selected patients. By placing this material under the breast skin and subcutaneous tissue we are able to help prevent rippling of an underlying breast implant. This also is true for a very thin cosmetic patient. Recent articles suggest that ACD may also help prevent capsular contracture. Even though the results with ACD are still early, it appears that this material will continue to enhance our results.
Breast Revision procedures for post-breast reconstruction and post-breast augmentation are also enhanced by ACD. Problems such as bottoming out, inframammary fold malposition and breast asymmetries can be corrected using this material. There appears to be very few problems associated with ACD and it has been found to be extremely safe. I have found ACD to be very helpful in problem cases.
Dr. Robert Wald
This entry was posted
on Thursday, March 8th, 2012 at 2:16 am and is filed under Breast Reconstruction.
Following breast augmentation or breast mastopexies (breast lift), revisional surgery may be necessary in a few cases. The patients tissue elasticity and the amount of stretching that can occur after these procedures is variable and may necessitate a minor revision. A period of six months is required for all the swelling and tissue stretching to occur. At this time, further adjustments to the breast can be performed. Sometimes the infra mammary crease may need to be elevated in order to correct a double bubble appearance. This occurs when the infra mammary crease is too low allowing the implant to fall and cause distortion of the breast. In mastopexies, the scars may need to be revised and the tissue envelope tightened. Even though these complications occur infrequently, the patient must realize that these problems can occur and may need to be corrected.
In my practice, I spend a lot of time with the patient showing photographs of patients with the types of scars following mastopexies. I also show surgical results following revisions. In almost all cases, revisional breast surgery is met with satisfaction and the scars and shape of the breasts are markedly improved.
Come in to my practice I would love to talk with you.
Dr. Robert M. Wald Jr.
This entry was posted
on Thursday, November 6th, 2008 at 2:53 pm and is filed under Breast Enhancement.
A woman with large breasts may experience multiple problems. These include neck and back pain, chest discomfort, and chronic headaches. Following breast reduction surgery, most of these symptoms are improved.
This surgery requires a removal of breast tissue with contouring and reshaping the breast. Even though this surgery is considered reconstructive and covered by many insurance companies, the aesthetic results are also very important. All plastic surgeons are not as proficient in achieving the aesthetic results following this surgery. A surgeon must have extensive experience to achieve these excellent results. It is important that a patient chooses a plastic surgeon with this knowledge and expertise.
Dr. Robert Wald
This entry was posted
on Tuesday, April 21st, 2009 at 2:32 pm and is filed under Uncategorized.
In our society, large breasts are quite fashionable and emotionally uplifting to the patient. However, breasts can be too large causing multiple problems. The problems include shoulder strap grooving, back, neck and shoulder pain, headaches and occasionally shortness of breath. Some patients complain of poor posture and an inability to exercise because of the pain in their chest areas.
With breast reduction surgery, most of the symptoms disappear or are markedly diminished. This surgery is covered by most insurance companies when there is evidence of these problems. This surgery is performed as an outpatient and the patient is back to work within two weeks.
The patient must must accept scars on her breasts but these scars fade nicely over one year. I am amazed how much this surgery changes a woman life. These patients are now able to exercise, fit in normal size bras, and live their daily life without pain. It is for this reason, that I have found this surgery to be one of my most gratifying procedures.
Dr. Robert Wald
This entry was posted
on Wednesday, April 15th, 2009 at 9:41 am and is filed under Breast Enhancement.
Patients who are faced with breast cancer and require a mastectomy, have many options for reconstruction. Our techniques continue to improve. One of the newest techniques is the use of alloderm or strattice dermal sheets of prepared tissue. By using these materials at the time of mastectomy with tissue expanders, a more natural breast shape and contour can be achieved. Immediate expansion of the overlying breast skin is accomplished. In patients that are candidates for skin sparring and nipple/areola preservation, a breast implant may be placed immediately and avoid the need for prolonged expansion.
These regenerative tissues help mask implant palpability and visibility and bottoming out of the implant. In my experience, I have found these new tissues to be beneficial and improve my results in breast reconstruction.
Dr. Robert Wald
This entry was posted
on Wednesday, April 15th, 2009 at 9:52 am and is filed under Breast Enhancement, Breast Reconstruction.
