Traditional Implant and Allograft Sling Reconstruction of the Breast Michael Rosenberg, MD,FACS Chief of Plastic Surgery Northern Westchester Hospital Mount Kisco, New York

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

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

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

Relationship of the Chest Wall Muscles to the Breast C4YW 2014: Orlando, Florida

Use of Allograft to Cover the Expander or Implant Allograft

Expander & Allograft in place C4YW 2014: Orlando, Florida Memory Gel Smooth Round Memory Shape Silicone Gel Implants

Lumpectomy and Implant Augmentation in Breast Conservation C4YW 2014: Orlando, Florida

Skin Sparing Mastectomy, Allograft and Immediate Implants C4YW 2014: Orlando, Florida

Nipple Sparing Mastectomy: Allograft and Implant Reconstruction C4YW 2014: Orlando, Florida