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Autologous Free Flap Methods of Reconstruction

Autologous Free Flap Methods of Reconstruction. Aldona J. Spiegel, MD February 22, 2014. Nipple Sparing Mastectomy. Nipple Sparing Mastectomy. Once the NSM is performed how should the defect be reconstructed? TE/ Implant Autologous Autologous + Implant Combination.

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Autologous Free Flap Methods of Reconstruction

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  1. Autologous Free Flap Methods of Reconstruction Aldona J. Spiegel, MD February 22, 2014

  2. Nipple Sparing Mastectomy

  3. Nipple Sparing Mastectomy • Once the NSM is performed how should the defect be reconstructed? • TE/ Implant • Autologous • Autologous + Implant Combination

  4. Stages of Implant Reconstruction Pec. Major muscle Pec. Major muscle Needle injecting fat Needle injecting saline Pec. Major muscle Implant (textured) Tissue expander not filled Fat Alloderm sling Tissue expander filled Fat injected behind nipple and all the way around Alloderm sling Alloderm sling

  5. Breast Reconstruction Flap Options SGAP DIEP/SIEA TUG IGAP

  6. Innervated SIEA Flap Breast Reconstruction

  7. Flap Comparison

  8. Stages of Flap Reconstruction Needle injecting fat Artery and vein Injected fat Flap

  9. Composite Method| Post- Mastectomy Stages of Flap and Implant Reconstruction Artery and vein Artery and vein Pec. Major muscle Flap Implant Injected fat Flap Flap skin removed

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