Breast Procedures

Surgeries performed by Dr. Scott Geiger and Dr. John Hulsen in Chesterfield, MO just outside of St. Louis.

Patient 1

Before
Breast Augmentation
After
Breast Augmentation
Before
Breast Augmentation
After
Breast Augmentation
Case #339 - Breast Augmentation

This patient had prior augmentation elsewhere with textured, shaped implants. She was unhappy with the different appearances and fold asymmetries. She underwent removal of her old and partially rotated implants, elevation of the left breast fold, lowering of the right breast fold, and further release of her lower midline left breast. She underwent exchange to […]

Individual results may vary.

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Patient 2

Before
Autologous Tissue
After
Autologous Tissue
Before
Autologous Tissue
After
Autologous Tissue
Case #384 - Autologous Tissue

This patient developed left breast cancer and underwent a skin sparing mastectomy with immediate pedicled TRAM flap tissue transfer from her abdomen for reconstruction. She is seen here 2 years postop with an excellent, natural appearance nearly identical to her preoperative breast. […]

Individual results may vary.

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Patient 3

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #387 - Nipple Sparing Reconstruction

This patient has a genetic mutation placing her at high risk for future breast cancer. She underwent bilateral nipple sparing mastectomies via a lower outer fold incision with placement of subpectoral tissue expanders and alloderm. This was later exchanged for smooth round silicone implants giving her an amazing appearance, well hidden scar, and nearly eliminated […]

Individual results may vary.

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Patient 4

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #389 - Nipple Sparing Reconstruction

This patient was at high risk for future breast cancer. She underwent bilateral nipple sparing mastectomies via a lower outer fold incision with placement of subpectoral tissue expanders and alloderm. This was later exchanged for smooth round silicone implants giving her an amazing appearance, well hidden scar, and nearly eliminated risk of future breast cancer. […]

Individual results may vary.

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Patient 5

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #461 - Nipple Sparing Reconstruction

This patient had a prior subpectoral breast augmentation. She developed right breast cancer and underwent double mastectomies through a concealed lower outer breast fold incision. In the same operation she underwent direct to implant reconstruction with smooth round silicone implants placed under the muscle. […]

Individual results may vary.

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Patient 6

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #457 - Nipple Sparing Reconstruction

This patient had prior breast reductions. She was later found to have a high risk for breast cancer and underwent prophylactic double mastectomies through her prior fold incisions. She had reconstruction several weeks later including removing unhealthy tissue around her left nipple, and expander + Alloderm reconstruction under the muscle. She later had exchange to […]

Individual results may vary.

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Patient 7

Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Case #1263 - Areolar Sparing Reconstruction

This patient developed right breast cancer. She underwent bilateral areolar-sparing mastectomies via small horizontal incisions that removed only the projecting part of her nipple for cancer reasons. Dr. Geiger performed immediate subpectoral (below the muscle) reconstruction with highly cohesive (gummy bear) shaped silicone implants (Natrelle style 410 MF 335cc) giving her a very nice shape […]

Individual results may vary.

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Patient 8

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #1655 - Nipple Sparing Reconstruction

This patient had moderate preoperative breast asymmetries with very tight nipple to fold distance on her right breast. She developed right breast cancer and underwent bilateral nipple sparing mastectomies through wavy incisions just lateral to her nipples. She had immediate subpectoral (below the muscle) reconstruction with tissue expanders and alloderm. She progressed through expansion while […]

Individual results may vary.

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Patient 9

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #1666 - Nipple Sparing Reconstruction

This patient developed left breast cancer. She initially had a lumpectomy performed by an upper outer incision near her armpit but the tumor was unable to be fully cleared. Thus she underwent left nipple sparing mastectomy through an outer breast fold incision, incorporating and removing her prior lumpectomy scar. She had immediate prepectoral (on top […]

Individual results may vary.

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Patient 10

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #1675 - Nipple Sparing Reconstruction

This patient developed left breast cancer. She underwent nipple sparing mastectomy through a lower breast fold incision. She had immediate subpectoral (under the muscle) tissue expander placed with an Alloderm sling for support. She had delayed recovery of her left nipple after the mastectomy, but was ultimately able to be expanded to a larger size […]

Individual results may vary.

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