Patient Education Check List
A patient with Dr. Marga
- Staging of Your Tumor
- Fine Needle Aspiration
- Core Needle Biopsy
- Open Surgical Biopsy
- Needle-Localized Excisional Lumpectomy
- Sentinel Lymph Node Procedure
- Axillary Lymph Node Dissection
- Breast Conservation Therapy
- Lumpectomy + Sentinel Lymph Node Procedure with possible Axillary Node Dissection + Irradiation Therapy
- May require reconstruction at a later date
- Mastectomy:
- Modified Radical Mastectomy
- Simple Mastectomy (+ excision of NAC)
- Skin Sparing Mastectomy (+ excision of NAC)
- Nipple and Areoloar Preserving Total Skin Sparing Mastectomy
- Implant-Based Staged Reconstruction:
- Stage 1: Tissue Expander Placement = PM flap + Alloderm™ + Integrated Port Tissue Expander
- Stage 2: Implant Exchange (Saline or Silicone)
- Stage 3: Nipple Reconstruction
- Stage 4: Areolar Reconstruction
- Autologous Staged Reconstruction:
- Stage 0: "Baby Sitter" Tissue Expander Placement = PM flap + Alloderm™ + Integrated Port Tissue Expander
- i.e. the "Burn No Bridges" Approach
Stage 1:
Flap Transplant (Unilateral or Bilateral):
- Muscle / Fat / Skin
- Latissimus Dorsi Flap +/- Implant (Back)
- TRAM Flap (Abdomen)
- TUG Flap (Inner Thigh)
- Fat / Skin ONLY
- DIEP / SIEA Flap (Abdomen)
- SGAP / IGAP Flap (Buttock)
- TUG-P Flap (Inner Thigh)
- ICP Flap (Back)
- TDAP Flap (Back)
Stage 2:
- Revision of Breast Reconstruction Site / Donor Site Revision / Nipple Reconstruction (Fat Grafting, Liposuction, Scar Revision, Balancing of Breast Size)
Stage 3:
- Areolar Reconstruction
- Counterbalancing Procedures:
- Breast Augmentation
- Breast Reduction
- Breast Lift
- Adjunct Cosmetic Procedures Available:
- Body Contouring Liposuction
- Abdominoplasty
- Circumferential Body Lift
- Blepharoplasty (Eyelid Lift, upper and lower)
- Lip Augmentation
- Forehead Lift
- Facelift