Traditional Implant and Allograft Sling Reconstruction of the Breast Michael Rosenberg, MD,FACS...
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Transcript of Traditional Implant and Allograft Sling Reconstruction of the Breast Michael Rosenberg, MD,FACS...
Traditional Implant and Allograft Sling Traditional Implant and Allograft Sling Reconstruction of the BreastReconstruction of the Breast
Michael Rosenberg, MD,FACSMichael Rosenberg, MD,FACS
Chief of Plastic SurgeryChief of Plastic Surgery
Northern Westchester HospitalNorthern Westchester Hospital
Mount Kisco, New YorkMount Kisco, New York
Aesthetic OncologyAesthetic Oncology
Marriage of…Marriage of…
Optimal cancer treatmentOptimal cancer treatment– And…And…
Immediate reconstructive surgeryImmediate reconstructive surgery– Both with an eye to AestheticsBoth with an eye to Aesthetics
Focus on the person, not the diseaseFocus on the person, not the disease
C4YW 2014: Orlando, Florida
Patient PreferencesPatient Preferences
People are different!People are different!
Each woman comes to the decision about Each woman comes to the decision about breast cancer surgery and overall breast cancer surgery and overall treatment from her own perspectivetreatment from her own perspective
There is no absolute right or wrong There is no absolute right or wrong approach as long as survival is the sameapproach as long as survival is the same
Key is empowerment and choicesKey is empowerment and choices
C4YW 2014: Orlando, Florida
Final PlanningFinal Planning
Discussion with patient, breast surgeon and Discussion with patient, breast surgeon and reconstructive surgeonreconstructive surgeon
Decision as to which type of breast surgery best Decision as to which type of breast surgery best fits the principles of aesthetic oncology for that fits the principles of aesthetic oncology for that individual:individual:– Breast conservationBreast conservation– Skin or nipple sparing mastectomySkin or nipple sparing mastectomy– Mastectomy with immediate reconstructionMastectomy with immediate reconstruction
Timing and type of ReconstructionTiming and type of Reconstruction
C4YW 2014: Orlando, Florida
Relationship of the Chest Wall Muscles Relationship of the Chest Wall Muscles to the Breastto the Breast
C4YW 2014: Orlando, Florida
Use of Allograft to Cover the Use of Allograft to Cover the Expander or ImplantExpander or Implant
Allograft
Expander & Allograft in placeExpander & Allograft in place
C4YW 2014: Orlando, FloridaC4YW 2014: Orlando, Florida
Memory Gel Smooth Round Memory Shape
Silicone Gel Implants
Lumpectomy and Implant Lumpectomy and Implant Augmentation in Breast ConservationAugmentation in Breast Conservation
C4YW 2014: Orlando, Florida
Skin Sparing Mastectomy, Allograft and Skin Sparing Mastectomy, Allograft and Immediate ImplantsImmediate Implants
C4YW 2014: Orlando, Florida
Nipple Sparing Mastectomy: Allograft Nipple Sparing Mastectomy: Allograft and Implant Reconstruction and Implant Reconstruction
C4YW 2014: Orlando, Florida