Breast Surgery - Cosmetic and Reconstructive
Breast surgery forms a core component of training for all Plastic Surgeons. There is significant emotional as well as physical attachment for every woman with her breasts. Patients seek breast surgery for a myriad of reasons and as a result, cosmetic and reconstructive surgical principles become meshed into one philosophy - helping a patient achieve their goals.
I have always found reconstructive breast surgery challenging but at the same time, enjoyed working with the patients, breast surgeons and the multiple people involved in a multidisciplinary breast cancer service. I am currently involved in this service at both Frankston Hospital and St Vincent’s Hospital Melbourne.
My initial training in breast reconstruction was undertaken in Melbourne and Perth and had a strong autologous tissue and microsurgical reconstructive focus. As such I am well trained to perform DIEP (deep inferior epigastric artery perforator) and TRAM (transverse rectus abdominus myocutaneous) flaps as well as alternatives such as the TUG (transverse upper gracilis) flap.
To supplement my training, I also did a fellowship in breast reconstruction in Vancouver. For six months I worked with plastic surgeons and breast surgeons performing reconstructions and revisionary reconstructive procedures using the latest in fat grafting techniques, implant reconstruction and acellular dermal matrices. I also had the opportunity to learn how to perform skin-sparing and nipple sparing mastectomies and whilst I leave this operation to the breast surgeons I work with, I have a better understanding for the technique and its challenges.
It is well recognised that there are physical and psychological benefits in breast reconstruction, specifically in the case of immediate breast reconstruction. It is my belief that all women who are about to have a mastectomy, should have the opportunity to discuss their reconstructive options with a plastic surgeon as part of being fully informed about their condition and treatment.
Every patient is different and will require a different approach. Not everyone will be suitable for a reconstruction, but it is important that the patient is aware of their options.
As part of my reconstructive fellowship in Vancouver, I also had the opportunity to develop my skills in other areas of breast surgery including breast reduction, augmentation, mastopexy and combinations of these procedures. I travelled to Banff to operate with Dr Elizabeth Hall-Findlay who is recognised world-wide for her expertise on cosmetic breast surgery and in particular breast reduction surgery.
The combination of skills and techniques that I have acquired here in Australia as well as overseas now allow me to comprehensively deal with any reconstructive or cosmetic breast issue that my patients may have.
Procedures I offer:
- autologous (tissue reconstruction)
- alloplastic (implant based)
- fat grafting
Mastopexy (breast lift)