Affordable liposuction in michigan 2014 |

Tumescent liposuction healing process emt

After breast surgery cancer kalanchoe,breast augmentation photo set,iorio plastic surgery colts neck karate - Plans On 2016

06.05.2014
Also, image thumbnail is just preview of the full size image available on original publisher site. Although the name of our practice Beverly Hills Plastic Surgery Group suggests that our physicians specialize only in cosmetic surgery, Dr Layke and Dr Danielpour are fully- trained plastic surgeons who are committed to providing the most advanced and comprehensive breast reconstruction after mastectomy or lumpectomy.
We understand that the diagnosis of breast cancer often presents an emotional and physical strain on you and your family, and we want you to know that we will work in concert with your team of physicians to provide the highest quality of care available in a compassionate manner.
Although you may have already been referred to, or have seen another plastic surgeon for a consultation regarding breast reconstruction, you should consider a second opinion from a plastic surgeon specializing in this type of surgery. The goal of reconstructive surgery is to restore what has been removed by various approaches based on your preferences and appropriateness of the surgery. Many decisions need to be made to decide which reconstructive option is most appropriate for you. The reconstructive options available differ in their approach, amount of time for the initial surgery, length of hospitalization and recovery time, and need for future procedures.
Broadly speaking, breast reconstruction can be divided into “implant-based” reconstruction or “autologous”(your own tissue) reconstruction.
Any woman who is going to have or has had a unilateral or bilateral mastectomy is a candidate for breast reconstruction. In most situations an immediate breast reconstruction (done at the time of the mastectomy) is appropriate. In cases of unilateral reconstruction, every attempt is made to create a balanced, natural appearing reconstructed breast. A reconstructed breast usually does not have normal sensation that existed before the surgery, but most women find that some sensation returns after several months.
Pain medications are typically required for 1-2 weeks, and activity is gradually increased over a several week period of time. In rare instances, breast cancer can recur after a lumpectomy or mastectomy with or without reconstruction. Insurance companies and managed care organizations are now required to pay for breast reconstruction for women who have had a mastectomy. A breast implant is a round or teardrop-shaped shell, filled with saline (salt-water) or silicone gel. In a select group of women, implants may be placed as a one-stage process, where a permanent implant is used at the time of the mastectomy.
The advantage of this type of reconstruction is that the initial surgery is shorter, on average adding only 1-2 hours to the mastectomy surgery and typically requiring only a single day of hospitalization. The disadvantage of this approach is that it typically involves a tissue expander, which requires at least 2 surgical stages and multiple visits to our office during the expansion process.
Breast reconstruction can be performed without implants, using a “flap” of your own tissue. A latissimus dorsi flap involves taking the skin, fat, and latissimus dorsi muscle from your back (in the area below your scapula or shoulder blade) and tunneling it through the axilla or armpit to create a breast. The disadvantages of this approach are that it requires a longer surgery, and it results in an additional scar on your back where the flap is obtained (although this scar is usually well hidden by your bra). The advantages of the TRAM are that it removes abdominal tissue to reconstruct the breast, which improves your abdominal contour after surgery (similar to an abdominoplasty or “tummy tuck”). The disadvantages of this approach are that it requires a longer surgery with a longer recovery time than for both an implant-based or latissimus flap reconstruction, it creates a scar across your lower abdomen (similar to the scar after a tummy tuck), it may result in some abdominal muscle weakness, and it is possible to develop bulging or a hernia at the site where the flap is taken from. In some patients who are receiving a unilateral mastectomy, to achieve optimal results we may recommend surgery on the contralateral or opposite breast in order to make the breasts more symmetric. In some circumstances, bilateral breast removal or mastectomy may be recommended by your oncologist or breast surgeon. This entry was posted in Uncategorized and tagged Beverly Hills breast surgery, breast cancer reconstruction, breast cancer surgery, nipple reconstruction.
Hopefully, you willFor any woman facing breast cancer surgery, you have a team of great medical professionals to handle all of your medical needs. You can be assured that our priorities are aligned with you and your cancer doctors, with the top priority to cure your cancer.
The decision-making process and overall surgical experience that is vital for the success of these highly complex surgeries are of upmost importance. This is in contrast to a private hospital, where all your surgery and care will be performed personally by very experienced attending surgeons.
During your consultation, we will discuss in detail the available options for breast reconstruction, taking into consideration your medical history, need for adjunctive treatments such as chemotherapy and radiation, and personal preferences. Most breast reconstruction can be performed at the time of the mastectomy, or in other words, “immediate breast reconstruction”; however, there are rare circumstances where a “delayed breast reconstruction” may be recommended, depending on if you will require other treatments after the mastectomy.


In general, breast reconstruction, from creation of a breast mound to nipple and areola reconstruction, requires staged procedures, although the subsequent procedures usually are minor outpatient or in-office surgeries with significantly shorter recovery times. However, there are reconstructions, such as the latissimus dorsi flap from your back, that incorporates both your own tissue with an implant to create a breast of appropriate volume based on your preferences or to match the other remaining breast. Occasionally, breast reconstruction is also necessary to correct post-lumpectomy changes in breast shape or size.
The advantage of this approach is that you wake up from the surgery with a new breast, or the beginnings of a new breast, already in place.
Occasionally, we recommend physical therapy after breast reconstruction to regain mobility and strength. Initially the nipple is reconstructed using local tissue, and then medical tattooing is performed to restore the color of the areola.
Modern techniques, such as mammogram, ultrasound, and MRI, allow detection of breast cancer recurrences even in the setting of a reconstructed breast. Health care plans are also required to pay for surgery to make the opposite natural breast match the reconstructed breast. However, you should still check with your insurance company ahead of time – most companies require that you obtain authorization in advance about any surgery that is not an emergency.
The implant is placed behind the pectoralis major chest muscle in a manner similar to what occurs during breast augmentation surgery.
However, most women require a two-stage process, using a tissue expander before the permanent implant is placed. The tissue expander is placed under the pectoralis major muscle at the time of your mastectomy.
Since this technique does not involve removal of tissue from another site of your body, it does not create any additional scars or potential “donor-site morbidity” (see below for more details).
There are instances where this may be more challenging for the patient than a recovery from a latissimus dorsi flap reconstruction (see below). Sometimes it is possible to use this flap without implants in order to achieve the desired size. In cases of immediate breast reconstruction, the patient emerges from the mastectomy and reconstructive surgery almost completely restored to a natural (or sometimes better) size and shape as compared to having a mound of tissue present if an expander is utilized.
The loss of muscle function is usually well compensated by the other muscles of the shoulder and back. Put simply, it uses your abdominal skin and fat based on blood vessels that travel through the rectus abdominus muscle (sometimes known as your “six-pack” muscle). In addition, it avoids the use of an implant, has a more natural look and “feel,” and is durable. The nipple is made by surgically rearranging a small portion of the skin and fat of your reconstructed breast, and the areola is tattooed in a separate procedure. This may either be for treatment of a bilateral breast cancer or as a prophylactic measure in high-risk patients.
John Layke provide patients with quality surgical results, including breast augmentation, tummy tuck and rhinoplasty. Hopefully, you will also have lots of support from family and friends to take care of the cooking and cleaning and chauffeuring duties as well as arrangement for travel to treatments and doctors' appointments.
Based on this information, we tailor a plan and coordinate surgery with your breast surgeon. If the reconstructive surgery was not performed during the initial mastectomy surgery, depending on circumstances, delayed breast reconstruction can usually be performed as soon as several weeks after the original surgery.
To provide our patients an exceptional experience and for their convenience, most of these secondary procedures can be performed in our private fully- accredited state-of-the-art surgery center.
In addition, when the breast reconstruction is performed immediately, the soft tissue envelope is not allowed to heal and contract, which often enhances the eventual reconstructive result. In addition, Dr Layke and Dr Danielpour may recommend a surgery on the contralateral breast (such as a breast augmentation, reduction, or lift) to make matching the reconstructed breast easier or making overall improvement in your appearance.
Your team of physicians will monitor you for recurrences with the appropriate tests after your mastectomy and reconstruction.
Also, not all insurance companies cover nipple tattooing, so ask about this procedure if you think you would like to have it done. In addition, an implant does not have the same shape and “feel” of a natural breast, so that it may make matching the opposite breast more difficult (for patients only having a unilateral or one-sided mastectomy). The advantages of using your own tissues are that it typically has a more natural shape and “feel” of a native breast, and that it typically avoids the use of an implant. However, this technique often is used in conjunction with a tissue expander or implant to reconstruct the breast.


Using a latissimus flap with an implant typically has a more natural shape and “feel” than an implant alone.
There are many variations of this type of flap which indicates the method by which Dr Layke or Dr Danielpour move the abdominal tissue up to the chest to create the breast. Breast reconstruction in this circumstance often allows Dr Layke or Dr Danielpour more control over the reconstruction and to achieve outstanding and symmetrical results. However, quite often the personal details of what make the rest and recovery of a patient a bit more comfortable are overlooked because no one knows what questions to ask. If you do not have a breast surgeon, we will be able to refer you to several surgeons specializing in breast cancer surgery. We have also performed breast reconstructions as late as 30 years after the initial mastectomy. There are some instances where Dr Layke and Dr Danielpour will recommend a delayed reconstruction, but this decision is made on an individualized basis. With a TRAM flap reconstruction, there is an additional scar on your lower abdomen, analogous to that created during an abdominoplasty or “tummy tuck”.
In cases of bilateral reconstruction, symmetry is often obtained because the same reconstructive technique is applied to both breasts.
Several studies showed no difference in recurrence detection or patient survivals in patient with or without reconstructions..
If you do not have insurance, you should talk with your doctor about the cost of the breast reconstruction surgery and office visits. This gradual stretching creates more skin and soft tissue, not unlike how the skin of the abdomen stretches during a pregnancy. As opposed to other types of reconstruction this type of surgery may produce a higher risk of early complications when performed as immediate breast reconstruction. It also offers immediate reconstruction of the breast shape that usually requires only minor adjustments during secondary procedures. One way to describe this effect is for you to imagine putting an implant under a bed sheet. In a “pedicled” TRAM, the tissue is moved to the chest by a subcutaneous tunnel in the lower portion of your breast. We have utilized bilateral implant reconstructions, bilateral TRAM flaps, and bilateral latissimus dorsi flaps with great success. This is of paramount importance, since the final results of an immediate breast reconstruction depend greatly on the teamwork of the breast cancer surgeon and plastic surgeon. Barring any coexisting major medical problems, the age of the patient is usually not a limiting factor.
The tissue expander is filled until it is slightly larger than the desired size to assure that the skin and soft tissue can accommodate the permanent implant. In the short-term, the implant can become infected or malpositioned, which may require surgery to correct these problems.
The disadvantages of this approach are that it requires a longer surgery and recovery time, and creates an additional scar on your body, with the potential for “donor-site morbidity.” The main autologous reconstructions use tissues from the back or abdomen and are described below. With only a thin sheet over the implant, all of the contours of the implant are visible and the implant can be readily felt. In a “free” TRAM, the abdominal tissue is transferred to the chest by using microsurgical techniques to reconnect the blood vessels that provide nourishment to the tissues.
It is our goal to provide you with as much information as possible to assist in making an informed decision about breast reconstruction. At a second surgery, the tissue expander is replaced with a permanent saline or silicone implant.
In the longer-term, implants may eventually require subsequent procedures to replace them due to capsular contracture, rupture, or malposition. On the other hand, if the implant is placed under a thick comforter, the implant is there only to provide volume, and is not as visible or palpable.
We believe it is optimal for women looking for a relatively quick recovery and very satisfactory results without the disadvantages of prolonged expansion and problems of implant exposure. The former analogy describes an implant-only based reconstruction, while the latter analogy describes the latissimus flap with implant reconstruction. In addition, placing the skin, fat, and muscle over an implant may reduce complications relating to infection and radiation therapy.



Tummy tuck surgery cost melbourne
Aesthetic plastic surgery houston tx reviews
Cost of breast lift melbourne bounce



Comments »

Glamour_girl:
4580 and had round Mentor breast not paid for by health insurance providers, there implant.
06.05.2014 | 17:28:41
Azam:
More information about liposuction or a confidential category of herbal nutritional supplements and your plastic surgery training. Deep.
06.05.2014 | 22:38:57
INTELLiGENT_GiRL:
Much to be removed are made jointly between the surgeon on the.
06.05.2014 | 23:38:57
Aysun_18:
Help extend the beneficial effects of the facelift.
06.05.2014 | 14:52:34
dolce_gabbana_girl:
Healing and the long term that can be used depending upon an individual patient.
06.05.2014 | 15:39:25