1. Breast Reconstruction: Tissue Expander Based Reconstruction
Michael J Bass, MD, JD
Plastic Surgeon
Michael J Bass Plastic Surgery, PLLC

2. Premastectomy Evaluation
40 year old female status post right breast lumpectomy for DCIS
Tested BRCA-1 (+)
Mother died at age 60 (ovarian CA)
Status post pan hysterectomy
3/31/2010

3. Preoperative Counseling
Patient counseled on implant based reconstruction versus autologous based reconstruction
After weighing all the pros and cons of each, patient decides on implant based reconstruction

4. Immediate Reconstruction at Time of Bilateral Mastectomies with Tissue Expanders and Acellular Dermal Matrix
4/15/2010

5. Maximal Expansion to 800 cc’s
6/1/2010

6. Post TE Removal, Permanent Implant Placement 700 cc’s
7/21/2010
Original mastectomy scar used every time for reentry to breast pockets; no new incisions used

7. Left Capsulotomy, IMF Lowering
10/25/2011

8. Right Capsulotomy
1/21/2011

9. Bilateral Nipple Reconstruction: Modified Skate Flaps
3/10/2011
Foam protectors around reconstructed nipples

10. Bilateral Areolar Tattooing
11/15/2011

11. Pre and Post Reconstruction
3/31/2010 – 12/9/2011: 20 months (618 days), 6 surgeries

12. Michael J Bass, MD, JD Plastic Surgeon