Surgery Spotlight: Secondary Breast Reconstruction-Surgery Spotlight: Secondary Breast Reconstruction

Surgery Spotlight: Secondary Breast Reconstruction

Video Transcription

Video Summary

In this video, Philip Landil performs a secondary breast reconstruction on a 52-year-old woman in Ghent, Belgium, aiming to achieve symmetry in her breasts following a previous deep flap reconstruction. The right breast is wider and slightly larger, and the left exhibits some droopiness. Landil plans to reduce the right breast's size and width by removing a wedge of tissue, enhancing symmetry. The left breast will undergo a minimal lift, involving a vertical scar to adjust the skin envelope for a better shape without altering the footprint significantly.<br /><br />The procedure includes liposuction on the right side to reduce volume and improve shape and lipo filling on the left side to enhance projection and contour. A vertical incision technique for the skin sparing mastectomy helps ensure a neat result and allows for future adjustments if necessary. Landil underscores a meticulous step-by-step approach, emphasizing the importance of maintaining a natural positioning.<br /><br />The video concludes with post-operative care instructions, emphasizing minimal breast compression and early mobilization, a recommendation particularly useful for newer surgeons to ensure a controlled and effective procedure.

Asset Caption

This Surgery Spotlight, filmed in Ghent, Belgium, features Phillip Blondeel, MD as he performs a secondary breast reconstruction with the goal of achieving symmetry. The primary surgery was DIEP reconstruction after mastectomy. The video illustrates the Three-Step Principle, which involves an analysis of the breast, comprehension of what is troubled with the size and shape, and a systematic execution of the surgical design. In this resume of different techniques, the right breast requires a reduction and a narrowing of the shape, and the right breast receives a minimal mastoplexy. Liposuction and lipofilling are also utilized.

Surgeon Phillip Blondeel, MD

Disclosure The Surgery Spotlight program was created to bridge a difficult gap between classroom theory and clinical application. Every month, PSEN seeks out experts in the clinical field to demonstrate their approach to a given surgical problem. By presenting the Surgical Spotlight program, the PSEN does not suggest that any one surgeon's operative method is the sole or only appropriate approach that should be considered. Every surgeon should use their own judgment in planning their operative approach to suit their own skill set and the needs of their patients. The views expressed in the Surgery Spotlight programs are the views of the operating surgeons and do not necessarily reflect the views of PSEN. This product is not certified for CME.

Keywords

Surgical Videos

Breast

Phillip Blondeel MD

surgery spotlight; Memben

Breast

Surgery Spotlight

Member Benefit

VI. Plastic Surgery of the Breast

D. Traumatic Breast Deformities

1. Breast reconstruction following mastectomy

E. Aesthetic and Functional Problems of the Breast

3. Mammary ptosis

b. Surgical techniques

secondary breast reconstruction

symmetry

liposuction

lipo filling

vertical incision

post-operative care

Philip Landil