Transcript Minimally Invasive Techniques in Breast Surgery

Traditional Implant and Allograft Sling
Reconstruction of the Breast
Michael Rosenberg, MD,FACS
Chief of Plastic Surgery
Northern Westchester Hospital
Mount Kisco, New York
Aesthetic Oncology
Marriage of…
Optimal cancer treatment
– And…
Immediate reconstructive surgery
– Both with an eye to Aesthetics
Focus on the person, not the disease
C4YW 2014: Orlando, Florida
Patient Preferences
People are different!
Each woman comes to the decision about
breast cancer surgery and overall
treatment from her own perspective
There is no absolute right or wrong
approach as long as survival is the same
Key is empowerment and choices
C4YW 2014: Orlando, Florida
Final Planning
Discussion with patient, breast surgeon and
reconstructive surgeon
Decision as to which type of breast surgery best
fits the principles of aesthetic oncology for that
individual:
– Breast conservation
– Skin or nipple sparing mastectomy
– Mastectomy with immediate reconstruction
Timing and type of Reconstruction
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Relationship of the Chest Wall Muscles
to the Breast
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Use of Allograft to Cover the
Expander or Implant
Allograft
Expander & Allograft in place
Silicone Gel Implants
Memory Shape
Memory Gel Smooth Round
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Lumpectomy and Implant
Augmentation in Breast Conservation
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Skin Sparing Mastectomy, Allograft and
Immediate Implants
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Nipple Sparing Mastectomy: Allograft
and Implant Reconstruction
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