
A patient with Dr. Marga.
Patient Education Check List
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 + AllodermTM + 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
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