Blog Feed: Dr. Brian Dickinson discusses breast reconstruction surgery using various methods, including: TRAM Flap, DIEP Flap, Imp..
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DIEP Flap Breast Reconstruction
Published on 2013-04-23 19:28:00
DIEP flaps are commonly used to reconstruct the breast following mastectomy
Staged DIEP & Implant Breast Reconstruction following Radiation Therapy
Published on 2013-03-05 18:50:00
Radiation therapy is often a necessary tool in the treatment of breast cancer. When breast reconstructions have been radiated, a patient's skin and soft tissues can react in many different ways. The breast implant beneath the radiated tissue can unde
DIEP Flap. Setting up for the Second Stage
Published on 2013-01-31 10:52:00
DIEP or deep inferior epigastric artery perforator flaps for breast reconstruction are commonly used in delayed breast reconstruction and following radiation therapy. Breast reconstruction with DIEP flaps typically require three stages of surgery to
Bilateral DIEP Flaps for Autologous Breast Reconstruction
Published on 2013-01-25 13:29:00
DIEP flap breast reconstruction is becoming more common. Patients who are seen in consultation for mastectomy often choose to undergo autologous breast reconstruction. Patients who wish to undergo autolgous reconstruction choose to use their own body
Autologous Breast Reconstruction: DIEP Flaps
Published on 2012-07-24 19:35:00
Autologous breast reconstruction involves the use of the patient's own body tissue (skin and fat) to reconstruct the breasts. The lower abdominal tissue is often the most frequently used autologous tissue donor site. Patients can undergo either immediate reconstruction following mastectomy or delayed reconstruction following mastectomy. When patients are not likely to need radiation following mastectomy, it is often better to perform an immediate reconstruction. During an immediate reconstructi [..]
DIEP Flap Breast Reconstruction
Published on 2012-05-01 11:25:00
The lower abdomen is traditionally used as the donor site for reconstruction following mastectomy when the remaining skin and subcutaneous tissue has been damaged by radiation. Not all patients respond to radiation in the same way. Some patients may receive lower doses of radiation and show significant signs of radiation damage and others may have high doses of radiation and show fewer signs of radiation damage. If patients develop capsular contracture, significant asymmetry, or chronic wounds f [..]
Breast Reconstruction. Microvascular Surgery. Evaluating Perfusion
Published on 2011-11-01 18:47:00
Early Post-Operative Bilateral DIEP Breast Reconstruction
Published on 2011-10-10 00:01:00
We are seeing more women in our office who are choosing to undergo breast reconstruction following mastectomy with their own body tissue. We are also noticing an increasing number of women, who, when appropriate candidates opt to spare their nipple areola complexes following mastectomy. When the skin and breast tissue are removed following mastectomy, the skin and fat from the abdomen can be transferred to the chest to recreate the breast mound. The skin and fat from the abdomen has its own blo [..]
Silicone Implant Breast Reconstruction
Published on 2011-05-05 22:29:00
Breast reconstruction following mastectomy can be challenging for both the patient and surgeon. Breast reconstruction can be performed immediately following mastectomy or can be performed in a delayed fashion where a patient undergoes a mastectomy in
DIEP Flap Breast Reconstruction.
Published on 2011-02-20 23:52:00
DIEP flaps are autologous tissue flap reconstructions where the tissue from the lower abdomen is transferred to chest using microsurgical techniques. The benefit of autologous tissue reconstruction is that the look and feel of the breast is natural a
Autologous Breast Reconstruction. DIEP Flaps. Second Stage Procedures
Published on 2011-02-19 01:54:00
Autologous breast reconstruction involves reconstructing the breast following mastectomy with the patient's own body tissues. Patients who are candidates for autologous breast reconstruction are patients who have had radiation to the breast skin, tho
DIEP Flaps for Breast Reconstruction. Post-Operative
Published on 2010-11-08 10:59:00
Patients typically ask in consultation what the recovery is like following DIEP or TRAM Flap surgery. I find that patients may have some misconceptions regarding how they are going to look and feel post-operatively. Typically at one week post-operati
DIEP Flaps. Second Stage Breast Reconstruction. Nipple Areola Complex Reconstruction
Published on 2010-10-22 18:35:00
Typically, breast reconstruction with autologous tissue occurs in three stages. For deep inferior epigastric artery perforator flaps, the skin and fat is harvested from the lower abdomen and transferred to the mastectomy site. In the second stage of
DIEP Flaps. Deep Inferior Epigastric Artery Perforator Flap for Breast Reconstruction.
Published on 2010-10-21 16:43:00
When the breast has been removed for cancer and the remaining skin on the chest has been radiated the optimal choice for autologous reconstruction is to use tissue from the lower abdomen.The deep inferior epigastric artery perforator flap or DIEP fla
Published on 2010-09-23 12:35:00
The Spy technology is an intraoperative Flouresence Imaging System that captures real-time images of blood flow in vessels and tissue perfusion. This allows Plastic and Reconstructive Surgeons to evaluate perfusion of perforator flaps.www.drbriandick
Delayed Breast Reconstruction Following Radiation Therapy
Published on 2010-09-10 18:05:00
Often when patients come to discuss breast reconstruction options in consultation, the choices to be made regarding reconstruction can often be more confusing to patients than the oncologic surgery itself.In our initial breast reconstruction discussi
Journal of Clinical Oncology Reading Notes
Published on 2010-05-03 00:13:00
The decision to use chemotherapy in addition to hormonal therapy in the treatment of axillary node-negative and estrogen receptor (ER) positive breast cancer should be based not only on baseline risk, but also on prediction of degree of benefit from
Oncotype DX: Reading Notes
Published on 2010-05-02 23:54:00
Oncotype DX is a diagnostic test that helps identify which women with early-stage, lymph node negative and estrogen receptor-positive breast cancer are more likely to benefit from adding chemotherapy to their hormonal treatment.The Oncotype DX test m
Identifying perforators in Breast Reconstruction with 3D CT-Scans
Published on 2010-04-13 10:05:00
The CT-angiogram has shown great utility for DIEP flap, SIEA flap, free TRAM flap, as well as the pedicle TRAM flap in identifying blood supply to the abdominal tissue used in breast reconstruction.In certain breast reconstruction candidates who have
3D CT-Angiogram for Flap Planning in Breast Reconstruction
Published on 2010-04-13 09:03:00
I have found the CT-angiogram to be very helpful for flap planning in breast reconstruction. The CT-angiogram allows the operative surgeon to have a road map for vessel selection, may facilitate orientation of the flap for breast reconstruction, as w
Deep Inferior Epigastric Perforator Flap Publications
Published on 2010-01-31 14:26:00
Reconstruction of Total Laryngopharyngectomy Defects with Deep Inferior Epigastric Perforator Flaps:Otway Louie, Brian Dickinson, Jay Granzow, J. Brian BoydJournal of Reconstructive Microsurgery. 25(9):555-558, November 2009It is truly a great honor