Breast Reconstruction with Ideal Implants – Patient 310
A mother of 1 in her early 40’s with a history of breast cancer. She had lumpectomy and radiation of her right breast 9 years before. She has a significant contour deformity of her right breast as well as breast asymmetry and both breasts which are smaller than ideal for her frame. I first reconstructed the contour deformity from her lumpectomy and radiation with 2 sessions of fat grafting. In the first session, 120 ml of fat were grafting to her right breast along with scar release. 4 months later she had additional fat grafting and scar release of the right breast. She then had bilateral breast reconstruction with placement of Ideal Structured saline implants in a partial subpectoral position through an inframammary incision. A left nipple reduction was performed at the same time to better match her opposite breast. She is shown 6 weeks after this final procedure. The Ideal structured saline implants were the 370 cc implants. The empty shell volume is 56 cc. The posterior/inner lumen is filled to 214 cc. The front/outer lumen is filled to 105 cc to give a total implant volume of 375 cc.
Breast Reduction – Patient 153
An RN and mother of one in her mid 30’s who described herself as a 34 DD cup and had difficulty doing jumping jacks and running and exercising even with multiple sports bras on because of the size and weight of her breasts. She had back and shoulder pain as well. Her case is made more complicated by her large areolas and only minor ptosis or drooping. We want to make her areola’s smaller and get around the outside with our breast reduction pattern and not leave excess areola behind. She is 5’ ½ “and 144 lbs and is shown before and again, 1 year after bilateral breast reduction with the removal of around 340 gms of tissue from each breast to bring her down to a C cup in size. She loves the new size of her breasts and no longer has back and shoulder pain or difficulty with exercise.
Breast Reconstruction – Patient 101
A breast cancer survivor in her mid 50’s. She is 8 years s/p lumpectomy and radiation, and is thankfully free of disease. But she is troubled by the difference in size of her breasts after her cancer removal and radiation, as well as the “dent” in her breast that shows in her cleavage area with clothing. She is 2 years after needle scar release( sometimes called ” Riggotomies ” after the Italian plastic surgeon who first described this.) combined with micro fat grafting with 93 ml of concentrated fat along with placement of a 300 cc round smooth saline implant to better balance her breasts. She then had a second session of needle scar release (Riggotomies) combined with micro fat grafting of 35 cc of concentrated fat 11 months ago, along with an abdominoplasty. (The fat was harvested from the portion of the abdomen that was eventually removed with the abdominoplasty,) Nipple position remains higher on the cancer side because of the removal of tissue with the lumpectomy and the radiation changes that have contracted and pulled it higher. To lower this would require additional, typically visible scarring from a flap to replace the missing skin and is often more noticeable than the nipple malposition. She is pleased that the volume of her breasts matches in clothing now. In addition to the correction of the “dent”, the scar has improved in appearance and she can now wear clothing styles that show her Decolletage (note to ran put this in italics with the accent over the e) area.