Breast Procedures

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

Patient 11

Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Case #2086 - 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 reconstruction by first placing subpectoral tissue expanders and alloderm. This was later exchanged for smooth round highly cohesive (gummy bear) silicone implants and fat grafting […]

Individual results may vary.

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Patient 12

Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Case #2249 - Areolar Sparing Reconstruction

This patient developed breast cancer and underwent bilateral mastectomies saving her areolas, but removing the nipple and ducts for cancer reasons. She had immediate reconstruction with prepectoral, shaped, gummy bear implants giving her more fullness and shape all in a single operation. […]

Individual results may vary.

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Patient 13

Before
Autologous Tissue
After
Autologous Tissue
Before
Autologous Tissue
After
Autologous Tissue
Case #2893 - Autologous Tissue

This patient developed aggressive cancer of her left breast requiring a mastectomy. This was followed by radiation therapy and nearly 2 years of chemotherapy. Dr. Geiger helped her regain confidence and symmetry as a proud breast cancer survivor. This was done by transferring tissue from her lower abdomen to build the left breast mound (TRAM […]

Individual results may vary.

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Patient 14

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #3372 - Nipple Sparing Reconstruction

Nipple Sparing Mastectomies, Subpectoral Expander to Smooth Round Silicone This patient developed left breast cancer. She underwent nipple sparing mastectomies through a lower breast fold incisions. She had immediate subpectoral (under the muscle) tissue expanders placed with an Alloderm sling for support. She had further treatment with chemotherapy before exchange of her expanders for the […]

Individual results may vary.

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Patient 15

Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Case #4502 - Areolar Sparing Reconstruction

Breast Reconstruction- Areolar Sparing Mastectomies, Prepectoral Direct to Shaped Implant Reconstruction This patient developed right breast cancer. She underwent skin sparing mastectomies via small horizontal incisions. Dr. Geiger performed immediate prepectoral (ontop of the muscle) reconstruction with highly cohesive (gummy bear) shaped silicone implants giving her a very nice shape and natural appearance. Different sized […]

Individual results may vary.

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Patient 16

Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Before
Nipple Sparing Reconstruction
After
Nipple Sparing Reconstruction
Case #4875 - Nipple Sparing Reconstruction

This patient developed breast cancer and underwent bilateral nipple sparing mastectomies through an incision hidden in her lower, outer breast fold. She had immediate prepectoral (on top of the muscle) reconstruction with tissue expanders. She later underwent exchange to the latest generation, highly cohesive (gummy bear) smooth round silicone implants giving her desired fuller appearance. […]

Individual results may vary.

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Patient 17

Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Case #6000 - Areolar Sparing Reconstruction

This patient developed left breast cancer. She ultimately desired enlargement of the breasts as well as reduction in the size of her nipple-areolar complex. She underwent bilateral areolar-sparing mastectomies via horizontal incisions that removed the projecting part of her nipple for improved cancer clearance as well as reducing the size of her larger areolas. Dr. […]

Individual results may vary.

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Patient 18

Before
Breast Lift with Augmentation
After
Breast Lift with Augmentation
Before
Breast Lift with Augmentation
After
Breast Lift with Augmentation
Case #6150 - Breast Lift with Augmentation

This patient presented with bilateral ruptured subglandular implants placed ~ 30 years ago. There was a significant amount of silicone that had leaked into the right breast tissue and required removal. She also desired to downsize, but not too small. Here she is after undergoing removal of extensive ruptured silicone implants, pocket exchange to under […]

Individual results may vary.

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Patient 19

Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Case #6172 - Areolar Sparing Reconstruction

This patient developed metastatic left 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 reconstruction by first placing tissue expanders underneath her muscles as she desired to be larger and more full if possible. She then underwent chemotherapy […]

Individual results may vary.

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Patient 20

Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Before
Areolar Sparing Reconstruction
After
Areolar Sparing Reconstruction
Case #6194 - Areolar Sparing Reconstruction

This patient was found to have a genetic mutation placing her at high risk of breast cancers. She previously underwent lumpectomy for a concerning right breast lesion, and later was found to have a left breast cancer. She thus underwent bilateral areolar-sparing mastectomies via small wavy incisions that removed only the projecting part of her […]

Individual results may vary.

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