Breast Reconstruction after radiation

Patient

Age:: 40 - 49
Gender:: Female
Ethnicity:: Undisclosed
Height:: 5’ 0” - 5’ 5”
Weight:: 100 - 149 lbs
Gallery:: 65254

Procedure

Profile

**Dr. Foley**
Medical Director
717-695-6553

Procedure Details

Breast reconstruction. The goal is to restore one or both breast to near normal shape, appearance, symmetry and size following mastectomy, lumpectomy or for congenital deformities. Breast reconstruction usually involves multiple procedures performed in stages. There are 2 broad categories of reconstruction options, implants or flap reconstruction (using your own body tissue). While these seem like 2 separate categories, they can be combined in many cases to help patients achieve their reconstructive goals. When the breast reconstruction process starts at the time of mastectomy it is referred to as immediate breast reconstruction. When breast reconstruction starts any time after the mastectomy it is referred to as delayed breast reconstruction. The type of mastectomy, the type of treatment for cancer (chemotherapy and radiation) can have a large effect on the outcome of the breast reconstruction.

This Harrisburg area patient is a 44-year old female who previously had a right skin sparing mastectomy with chemotherapy and radiation. She presented in a delayed fashion for a left nipple sparing mastectomy with bilateral breast reconstruction with tissue expanders. The right, radiation breast, failed breast recon with a tissue expander extruding. A right latissimus dorsi flap with placement of a tissue expander and a left under the pectoralis muscle tissue expander was performed for salvage of the reconstruction. After 5 months of tissue expansion, the tissue expanders were exchanged for a left 480cc ultra high profile smooth Mentor silicone implant with a periareolar mastopexy and a right high profile smooth Mentor silicone implant 450cc with Nipple Areola reconstruction with a skin graft and fat grafting fat grafting to help normalize the upper pole volume deficiency (left 70cc, right 100cc). After 30C cup. More