Breast Procedures

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

Patient 111

Before
Nipple Repair/Reconstruction
After
Nipple Repair/Reconstruction
Case #730 - Nipple Repair/Reconstruction

These photos show the process for reconstructing a projecting nipple from the existing breast skin. This procedure is performed in the office by Dr. Geiger, in approximately 30 minutes (per nipple). Tattooing then takes place in the office ~3 months later once the new nipple has had time to heal. […]

Individual results may vary.

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Patient 112

Before
Skin Sparing Reconstruction
After
Skin Sparing Reconstruction
Before
Skin Sparing Reconstruction
After
Skin Sparing Reconstruction
Case #1822 - Skin Sparing Reconstruction

This patient has a genetic mutation placing her at high risk for future breast cancer. She underwent bilateral skin sparing mastectomies via horizontal ellipse incisions with placement of subpectoral tissue expanders and alloderm. This was later exchanged for smooth round silicone implants giving her an excellent appearance and nearly eliminated risk of future breast cancer. […]

Individual results may vary.

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Patient 113

Before
Prepectoral Reconstruction
After
Prepectoral Reconstruction
Before
Prepectoral Reconstruction
After
Prepectoral Reconstruction
Case #1881 - Prepectoral Reconstruction

This patient developed left breast cancer and underwent bilateral skin sparing mastectomies through horizontal ellipse incisions. She had immediate prepectoral (on top of the muscle) reconstruction with tissue expanders. The tissues were stretched as she completed chemotherapy. She later underwent exchange to the latest generation, highly cohesive (gummy bear) smooth round silicone implants giving her […]

Individual results may vary.

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Patient 114

Before
Wise Pattern Reconstruction
After
Wise Pattern Reconstruction
Before
Wise Pattern Reconstruction
After
Wise Pattern Reconstruction
Case #2026 - Wise Pattern Reconstruction

This patient had bilateral breast reduction surgery many years prior with a different plastic surgeon. She was recently diagnosed very high risk for future breast cancer. She underwent double mastectomies through breast reduction-type incisions (Wise Pattern) to remove excess skin and allow better reshaping of the breasts while incorporating her prior scar pattern. Tissue expanders […]

Individual results may vary.

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Patient 115

Before
Breast Implant Removal
After
Breast Implant Removal
Before
Breast Implant Removal
After
Breast Implant Removal
Case #4500 - Breast Implant Removal

This patient had subglandular 280cc saline implants placed on top of her muscle 19 years previously. She developed a visible and palpable fold of the implant in her left upper outer breast. She desired removal without replacement. The entire calcified capsules around her implants were also removed leaving her with a nice, natural, soft result. […]

Individual results may vary.

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Patient 116

Before
Revision Reconstruction
After
Revision Reconstruction
Before
Revision Reconstruction
After
Revision Reconstruction
Case #8452 - Revision Reconstruction

This patient underwent double nipple sparing mastectomies with subpectoral expander to implant reconstruction. She developed severe capsular contracture on the left after radiation was necessary to treat her cancer. Here she is after removal of her radiated scar capsule and subsequent pocket adjustments to bring her back into much more balance and symmetry. […]

Individual results may vary.

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Patient 117

Before
Breast Reduction
After
Breast Reduction
Before
Breast Reduction
After
Breast Reduction
Case #13981 - Breast Reduction

This patient suffered from the usual upper back & neck pains, bra strap grooving, and rashes due to her large breasts. She underwent reduction by Dr. Geiger using a superomedial pedicle, Wise-pattern scar technique. This technique removes the lower and outer breast tissue, and keeps the remaining upper breast tissue for nipple support. The final […]

Individual results may vary.

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Patient 118

Before
Breast Lift
After
Breast Lift
Before
Breast Lift
After
Breast Lift
Case #14286 - Breast Lift

This patient was unhappy with the sagging and full appearance to her breasts. She underwent a lift & reduction by Dr. Geiger using a superomedial pedicle, Wise-pattern scar technique. This technique removes the lower and outer breast tissue, and keeps the remaining upper breast tissue for nipple support. The final inverted-T shaped scars allow removal […]

Individual results may vary.

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Patient 119

Before
Breast Lift with Augmentation
After
Breast Lift with Augmentation
Before
Breast Lift with Augmentation
After
Breast Lift with Augmentation
Case #14627 - Breast Lift with Augmentation

This patient desired a little more fullness and perkiness to her breasts. Her left nipple was lower but she wanted to avoid any visible scars on the front of the breast. Thus, she underwent dual plane breast augmentation under the muscle with moderate profile 365cc implants. She had concurrent left circumareolar lift to elevate her […]

Individual results may vary.

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Patient 120

Before
Breast Augmentation
After
Breast Augmentation
Before
Breast Augmentation
After
Breast Augmentation
Case #14736 - Breast Augmentation

This patient was unhappy with her deflated breast appearance. She underwent breast augmentation with Dr. Geiger who placed smooth round gummy bear implants (505 cc moderate plus profile) under the muscle in a dual plane approach. These were placed through incisions hidden in her breast folds for an outstanding size and shape for her frame. […]

Individual results may vary.

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