This covers a wide variety of procedures that are performed
to help repair damaged tissue.
- Post mastectomy (breast cancer surgery)
Breast reconstruction helps restore breasts to near their normal shape, appearance, symmetry and size following a mastectomy. Breast reconstruction can be done in various ways: Implant-based reconstruction (using breast implants), flap reconstruction (using the patient’s own tissue from another part of the body), fat grafting, a combination of two or three of the procedures in single or multi staged procedures.
If the Nipple Areola Complex has been sacrificed then various techniques such as tattooing, skin grafting and cartilage transfer can also be undertaken in various stages.
If you are considering breast reconstruction after having a mastectomy, Dr Bijlani will look at the type of mastectomy you are expecting to receive/received, the other cancer treatments and your body type before recommending the best solution for you.
- Congenital Breast deformities:
Tuberous breast deformity
Tuberous breast deformity is a congenital occurrence and becomes obvious at puberty. Each of these women has individual challenges based on her anatomy, the extent of the deformity, and the degree of asymmetry of her breasts.
The exact cause of tuberous breast deformity is unclear, but some theorize it could have something to do with constricted skin around the breast that interrupts normal development.
In either case, breast implants along with or without other techniques can help with achieving a fuller and more balanced look.
- Poland’s Syndrome (for Women and Men)
Poland’s Syndrome is a rare congenital condition affecting the chest, breast, and sometimes the upper extremity (arm and hand) on one side of the body. Males are three times more commonly affected than females, and the right side is affected twice as often as the left.
As breast asymmetry develops during puberty, young women seek cosmetic correction of their breast and chest wall. There are various options available to these young women – Implant-based reconstruction (using breast implants), flap reconstruction (using the patient’s own tissue from another part of the body), fat grafting, a combination of two or three of the procedures in single or multi staged procedures
Hypertrophic nipples protrude overtly. This condition is occasionally painful and often embarrassing as the nipples can be easily chafed and visible through clothing.There may be a genetic component
Nipple reductions can decrease the prominence of the nipple without limiting sensitivity.
- Nipple Inversion
Inverted nipples tend to recede into the breast, a condition that is rarely uncomfortable but can make affected women extremely self-conscious.
Whatever the cause, nipple inversion can be corrected with surgery.
Newer techniques can also treat the condition by stretching the connective fibers instead of severing them.
- Supernumerary nipple (SNN) and areola (polythelia) and breast (polymastia)
Although most SNNs develop along the embryonic milk line, they may also appear on the back, shoulder, thigh, face, or genital area.
Corrective surgery for polymastia is performed when breast development is complete and final breast tissue volumes have been achieved.
- Absence of the nipple, areola (athelia), or the breast tissue (amastia)
Treatment of amastia and athelia follow the principles of breast reconstruction with special attention paid to the placement of the inframammary (under the breast) fold and nipple.
- Breast Hypoplasia (micromastia)
In the case of breast hypoplasia, the breast is partially developed; so one or both breasts appear completely level, whereas with breast hypoplasia one or both breasts appear severely underdeveloped but definitely present. The condition is often unilateral, meaning only one breast will appear underdeveloped, causing severe breast asymmetry.
Cleft Lip and Palate Repair
Cleft lip and cleft palate are some of the most common birth defects in children. This type of plastic surgery is designed to correct this irregular development and restore a more normal appearance.
Hand or Foot Surgery
Hand surgery can improve conditions that impair the hand, including carpal tunnel syndrome and Dupuytren’s contracture (a disabling hand disorder marked by scar-like tissue bands on the palm) and tumors of the hand. These surgeries can treat diseases that cause pain and impair strength, function and flexibility in the wrists and fingers. They can also correct some abnormalities that may have been present at birth (congenital) such as syndactyly (fused fingers), macrodactlyl (giant fingers) amongst others.
Foot surgeries are available for people affected by tumors, or by webbed or extra toes.
Scar Revisions or Excisions
This is a group of treatments that attempt to minimize the appearance of a scar and help it blend in more effectively with the surrounding skin. Treatments can range from mild, topical treatments and minimally invasive procedures to surgical revision. While scars can be reduced, minimized and adjusted to form a optical illusion they often cannot be completely removed.
Skin Cancer Removal
In some cases of skin cancer, surgery to remove a cancerous growth might be recommended. Dr Bijlani can remove cancerous or other skin lesions using specialized techniques designed to preserve appearance.
Tissue expansion is a process that allows the body to raise extra skin in almost any area of the body. A silicone balloon expander is inserted under the skin near the area that needs to be repaired and gradually filled with salt water over time—this causes the skin to stretch and grow. It’s most commonly used for breast reconstruction after breast removal, but it can also help in other areas.
If you are a candidate for any of these reconstructive surgeries, Dr Bijlani can provide the proper recommendations for you.