Traditional Implant and Allograft Sling Reconstruction of the Breast

1
Traditional Implant and Allograft Sling
Reconstruction of the Breast

• Michael Rosenberg, MD,FACS
• Chief of Plastic Surgery
• Northern Westchester Hospital
• Mount Kisco, New York

2
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
3
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
4
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

C4YW 2014 Orlando, Florida
5
Relationship of the Chest Wall Muscles to the
Breast
C4YW 2014 Orlando, Florida
6
Use of Allograft to Cover the Expander or Implant
7
Expander Allograft in place
Silicone Gel Implants
Memory Gel Smooth Round
Memory Shape
8
Lumpectomy and Implant Augmentation in Breast
Conservation

C4YW 2014 Orlando, Florida
9
Skin Sparing Mastectomy, Allograft and Immediate
Implants
C4YW 2014 Orlando, Florida
10
Nipple Sparing Mastectomy Allograft and Implant
Reconstruction
C4YW 2014 Orlando, Florida