How is fat grafting used in Breast Reconstruction Surgery? 

 

Fat grafting is a way to transfer fat cells from one part of the body to another part of the body, in this case to the breasts.  The fat is collected via liposuction, processed, and then injected into the desired location. The fat can be harvested from any area with excess or undesirable fat.  Typical locations include the abdomen, flanks or love handles, and inner thighs and knees.

 

The fat can be utilized in multiple different ways.  First and foremost it is used to smooth out any contour irregularities or asymmetries in the breasts.  Similarly, it can be used to camouflage the edges of the implant or improve the appearance of rippling from the implant.  Fat grafting can also be used to enhance the volume of the breast, either by itself or in combination with an implant. If a large volume of fat is required, multiple fat grafting surgeries may be required.  It is possible to create a breast entirely with fat grafting depending on the amount of fat you have available and the size of breast you desire. Fat grafting can also be utilized to improve contour irregularities associated with lumpectomies.

 

Fat grafting is done at second stage or revisional procedures, not at the time of mastectomy. Usually fat grafting is performed in conjunction with other procedures so the length of the procedure depends upon what other procedures are being done.  In general, fat grafting takes anywhere from 45 minutes to 1.5 hours.

 

Dr. Elswick performs fat grafting in breast reconstruction cases as well as cosmetic surgeries. It provides beautiful natural results and is appealing to the individual who wishes to use their own body tissues to rebuild and restore their body. Call today to schedule your consultation.  248-524-0620

 

Dr. Sarah Elswick

Plastic, Reconstruction and Aesthetic Surgery :

 

What is Goldilocks Breast Reconstruction?

 

Traditionally Goldilocks Breast Reconstruction was used to describe a type of breast reconstruction where the skin and fat left after a mastectomy was rearranged in such a way to create a breast.  The tissue from the lateral breast and chest wall can also be recruited to provide additional volume. This technique works well in women with large breasts who want smaller breasts postoperatively and fits the adage of “not too big, not too small, but just right” – Goldilocks and the Three Bears story.

 

There are multiple applications of Goldilocks Reconstruction:

  • The reconstruction can be performed in the traditional aspect, rearranging the patient’s own tissues to create a new, smaller breast.  If desired, the patient can undergo one or more episodes of fat grafting to enhance the size or shape of the breast.
  • The reconstruction can be performed in combination with a tissue expander and/or implant for women with large, droopy breasts desiring better breast shape with a more youthful and “perky” appearance.
  • The reconstruction can be performed in patients who do not want reconstruction but want to limit or prevent the concavity that can be caused by a mastectomy.

 

This surgery is done at the same time as the mastectomy.  The surgery usually takes 1.5-2 hours depending on whether you are having single or double mastectomies.  This is in addition to the time it takes to complete the mastectomy. Patients are usually hospitalized for one night after a mastectomy with Goldilocks Reconstruction.

 

During the consultation I will evaluate your specific case and present all the options that are available to you.  We are committed to helping you close the loop on breast cancer and have confidence to move forward. Call today to schedule your consultation. 248-524-0620.

 

Dr. Sarah Elswick, MD

Plastic, Reconstructive and Aesthetic Surgery 

Irregular or disproportionate breasts after implant surgery?

Irregular or disproportionate breasts after implant surgery?

Are your breast implants hard, uneven or causing pain?  If you answered yes, you may be experiencing symptoms of a capsular contracture.  This is a hardening and constriction of the breast implant capsule that causes the breasts to become hard, distorted, misshaped or oddly positioned.

Previously the corrective action was surgery.  However, we offer a new multi-energy therapy called Aspen that can sometimes correct the contracture without surgery.

Here are some commonly asked questions:

How does Aspen work for someone with a breast implant contracture?

The Aspen System uses a controlled sound wave energy that helps to soften the capsule and the surrounding scar tissue.  After numerous treatments your breast will soften and can move into the correw position.

Does Aspen hurt?

The treatment may feel uncomfortable for your 1st – 3rd session and are quite tolerable thereafter.  You may be a bit tender after a treatment and can reduce soreness by icing or taking ibuprofen if needed.

How many treatments do I need?

A total of 8 to 10 treatments are recommended to achieve the desired results for softening.  It is suggested to have two treatments a week.  On average, the treatment is completed within 60 minutes.

Our office is located in Troy, MI and the only practice in the state that offers the Aspen Therapy. Please call (248) 524-0620 today for a complimentary consultation or for additional information.

Doctor:  Michael J Schenden, M.D.

Aspen technician: Joanne Causley

www.drschenden.com

 

Breast Augmentation and Breastfeeding

How soon can I get a breast augment after stopping breastfeeding

“How soon after I stop breastfeeding can I get a breast augmentation?” –  that is a question that I receive quite regularly. Typically I advise my patients to wait at least 3 to 6 months after they stop breastfeeding, this will allow for the breast tissue to settle down from lactating and the breast to reach the final post partum size. Some women can still express a small amount of milk up to 9 months after breast feeding, that is completely normal but shouldn’t affect your decision to proceed with a breast augmentation. The best option is to schedule a consultation if you are truly considering an augment or other breast surgery to evaluate your options.

To learn more about your options contact 248-524-0620 for a private consultation.

3D Body Simulation Vectra System Announcement

3D Body Simulator Technology

3D Body Simulator

NEWS RELEASE: 3D Photographic Simulation Brings a New Dimension to Plastic Surgery at Dr Michael J. Schenden’s Office.

New technology allows patients to preview how they will look with aesthetic procedures. Click HERE to see the 3D simulator in action!!!

Troy, Michigan– If you are one the thousands of people each year considering aesthetic plastic surgery, Dr Michael Schenden has some good news for you. Recent advances in three dimensional (3D) photography combined with revolutionary new software allow prospective patients to preview what they will look like as the result of breast augmentation, facial procedures, and more, well in advance of any surgery.

Both the VECTRA® 3D camera and Sculptor software which make this possible were developed by Canfield Imaging Systems of Fairfield, NJ, the world’s leading provider of medical photography systems. The process starts with a VECTRA 3D session which produces a three-dimensional photograph of the patient. Then, using Sculptor software, the surgeon is able to simulate the expected results of a variety of aesthetic procedures.

“My patients are going to absolutely love this,” said Dr Michael Schenden. “For the first time, they’ll be able to see a 3D picture of themselves with their new look. Because it’s in 3D, I can rotate their picture to any viewpoint and they can really examine the desired result. We can make changes here and there and agree on a final look in advance, and this truly helps them make a decision”.

Dr Schenden has more than 25 years of experience, offering professional, personalized medical care in aesthetics such as: breast augmentation, breast lift, facelifts, nose surgery, eyelid surgery, liposuction, tummy tucks and more. Dr. Schenden is a board certified plastic surgeon and is available for consultations by appointment at 248.524.0620.

 

For additional information:
Doctor’s Name: Dr Michael J. Schenden, MD
Consultation Contact: Margaret Randall
Phone number: 248.524.0620
Website: www.DrSchenden.com
Address: 201 W. Big Beaver Rd Ste 1130, Troy MI 48084

Get Your Confidence Back! Solutions For Breast Surgery Recovery

Over the past 25 years, I have performed many reconstructive breast surgeries. Some on women who have undergone breast surgery and some on women who have undergone a mastectomy – all with a common goal to restore their femininity and natural appearance by reconstructing their breasts.

New medical techniques and devices have made it possible for surgeons to create a breast that can come close in form and appearance to matching a natural breast. There are often many options to consider and discuss with your doctor to determine what is best for you. After undergoing the surgical procedure, creating the nipple/areola is the final component to making your breast reconstruction complete; our permanent areola/nipple repigmentation techniques uses cosmetically tattooed micropigmentation as a way to restore the natural beauty of your breasts. It takes into consideration breast contour, areola position and creates the illusion of nipple protrusion factoring in your own skin tone and color.

The reconstruction of the nipple/areola helps to put the finishing touches on the new breast after a long journey in reconstruction. There are a number of factors that help determine which method of breast and nipple reconstruction are right for you. All of the options would be discussed during your consultation. For most mastectomy patients, breast reconstruction dramatically improves their appearance and quality of life following surgery.

Contact 248-524-0620 to set an appointment to discuss your options.