Plastic & Reconstructive Surgery Associates
Vincent D. Lepore, MD
2581 Samaritan Drive #102
San Jose, CA 95124
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Breast Reconsruction following mastectomy, is a process involving understanding and artistry, as well as skill. This type of surgery has been a hallmark of Dr. Vincent Lepore's practice for over 25 years. The photograph displayed, shows our patient after she has undergone her reconstructive surgery. Many women undergoing this sensitive process, prefer not to have photos taken after their cancer diagnosis, and before reconstruction.
This patient is in her early 40s. She was able to have what is know as "nipple sparing" mastectomies, followed by reconstruction. Her own nipples, and as much of her breast skin as possible, were retained. As you can see, her body-type is thin. To add coverage to the implants that would be used to reconstruct her breasts, Dr. Lepore grafted a processed skin material known as Acellular Dermal Matrix, to provide better coverage on the lower pole of the breasts. The patient chose to have the so-called "Gummy Bear" implants inserted. These are silicone gel implants (known as cohesive gel, or form stable silicone implants). She is doing well, and is very pleased with the outcome of her surgery.
This is one of many women who have come to Dr. Vincent Lepore for Breast Reconstruction surgery. For more than two decades, Breast Reconstruction has been a hallmark of Dr. Lepore's practice. There are many surgical options for women (and men) facing the loss of their breasts due to cancer.
Patients may choose reconstruction with implants and tissue expanders, or, through microvascular surgery such as TRAM or DIEP flap procedures, in which the patient's own tissue is taken from another part of the body to fashion a breast.
In the case of this patient, both breasts were removed, in what is known as a nipple-sparing mastectomy. (As much as possible, the patient's skin and nipples are preserved.) For her Reconstruction, she chose to have saline implants. The surgery was performed in one stage. As soon as the mastectomy was completed, Dr. Lepore inserted reconstructive saline implants beneath the pectoral muscles. In this instance, Acellular Dermal Matrix was used on the lower pole of the breasts.
(Acellular Dermal Matrix is the name of a product made up of cadaver skin which has been processed to remove cellular elements, while preserving protein. The resulting substance is incorporated by the patient's own skin as it heals. The graft allows for better coverage of the implant, and better protection of the overlying skin.)
Within a few weeks of her surgery, this patient was able to resume her normal activities, She is very pleased with the results of her breast reconstruction.
This patient, in her late 40s, learned that she had breast cancer, and that her treatment would include a mastectomy of her left breast. After learning about her options, she decided to have immediate breast reconstruction. Dr. Lepore was able to proceed with the reconstructive surgery immediately following the mastectomy. Since she was able to have what's known as a "nipple sparing mastectomy," in which the nipple and some of the surrounding breast skin is untouched, Dr. Lepore inserted a special reconstructive implant beneath the skin and muscle flap. The implant used is a silicone cohesive gel type. To better cover the lower pole of her breast, a graft of acellular dermal matrix was used.
Our patient has resumed her normal activities. She is very pleased with the natural look and feel of her reconstructed breast.
This woman, in her early 30s, underwent a Lumpectomy several years ago on her right breast, due to a cancerous tumor. The results of that surgery led to unevenness, or asymmetry in her breasts, with the right breast sitting higher than the left. Dr. Lepore presented a number of options to balance her breasts, ultimately advising Breast Reconstruction using silicone implants, along with Breast Lift, and a slight Reduction on the left breast. During her surgery, in the same session, Dr. Lepore performed a short-scar anchor lift on the right breast, and an anchor-style lift with slight reduction of the left breast.
Our patient's bilateral breast reconstruction was completed with the so-called gummy bear style implant; Sientra, moderate profile 300cc smooth, round implants, which were inserted beneath the chest muscle. The result is a much more balanced, natural look and feel.
This patient is in her 40s, and is undergoing bilateral mastectomies (both breasts removed) due to breast cancer. She decided on a plan of action that included nipple sparing mastectomy with immediate reconstruction.
In Dr. Lepore's consultations with the patient, they determined the type and size of implants she would have (Allergan- form stable silicone, anatomically shaped reconstructive implants). During surgery, the implants were placed beneath the chest muscle. While a good portion of breast skin and the nipple/areola area were left intact, in this case, as in many, additional coverage was needed for the implant. This patient also had a graft of Acellular Dermal Matrix (a skin cell material) placed along the inframammary fold, to provide the coverage she needed.
The After photos show her results approximately 2 months following surgery. Although she is still in the healing stages, our patient is very pleased with the results of her reconstructive procedures.
This woman, in her 40s, is one of our many Breast Reconstruction patients. Immediately following what's known as a Nipple-Sparing Mastectomy of her left breast, Dr. Lepore performed her Reconstruction. Her breast was reconstructed with a form-stable, or gummy bear silicone implant (in this case, Allergan 410, teardrop shape, moderate profile - 320cc), inserted sub-pectorally.
To further complete her cosmetic result, a graft of Acellular Dermal Matrix was used to provide more coverage of the lower pole of her breast. The After photos were taken 2 months following her surgery.
This active woman, in her early 40s, has chosen Breast Reconstruction surgery, following bi-lateral (double), nipple-sparing mastectomy. After discussions with Dr. Lepore, which included descriptions of the various types of reconstruction options available, she chose to have reconstructive breast implants. Her choice of implant was a form stable, silicone variety. (the so-called 'gummy bear' type of implant) Because of her thin frame, and lack of excess fat beneath the skin, Dr. Lepore enhanced the coverage of the lateral pole of the breast implants, with acellular dermal matrix, a special cell-based substance that blends with the patient's own skin. She moves forward now with her medical treatment, and with our best wishes.
This woman has had Breast Reconstruction surgery, following breast cancer. Dr. Lepore reconstructed her right breast, using a saline implant. At the same time, he performed surgery on her left breast, performing a reduction and breast lift- in order to give the patient a symmetrical appearance. The patient has been very pleased with the results of her reconstruction.