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Skin cancer
Depending on the type of skin cancer you have been diagnosed with your surgery will be performed in office or as an outpatient in a surgical facility. In most cases these procedures are done under a local anesthetic. This allows you to eat prior to surgery and drive yourself. Certain types of skin cancer can be evaluated by a pathologist at the time of surgery, this is referred to as Modified Mohs' Analysis. Dr. Holcombe or Meghan will discuss this with you if you are a candidate for this procedure.
Breast reconstruction
Dr. Holcombe performs three types of breast reconstruction; tissue expander/implant reconstruction, TRAM flap reconstruction and Latissimus reconstruction.
- Reconstruction using tissue expanders and implants are done in 2 stages. The first stage is placement of the expander which is an inflatable implant. After placement of the expander you will come in once a week to have sterile saline injected into to the expander until it reaches it's desirable size. Approximately 6 weeks later we will perform the second stage which is removal of the expander and placement of the permanent implant.
- TRAM (transverse rectus abdominus muscle) flap reconstruction uses the lower abdominal tissue and stomach muscle to create a breast. This is done in the main hospital as an inpatient. You will be admitted for 2-3 days for post-operative care.
- Latissimus flap resconstruction uses the skin of the back and latissimus muscle to create a breast. This procedure is often combined with the placement of an implant because the flap alone typically does not have enough volume to produce the desired breast size.
- After breast reconstruction is complete many women desire nipple reconstruction. This is done as an outpatient under local anesthetic. Nipple and areola tattooing is the final step in breast reconstruction. At this time we do not offer this service but can refer you to another office that does
Breast Reduction
Breast reduction is the surgical treatment of macromastia which means large breast. The procedure reduces the size of the breast and repositions the nipple-areolar complex to it's anatomically correct position. Many women with macromastia often suffer from pain in their neck, back, and shoulders, chronic rashes under and/or between their breasts, and headaches. For these reasons many insurance companies will cover breast reduction surgery.
Mastectomy for Gynecomastia
Gynecomastia is the enlargement of breast tissue in males. Mastectomy is the removal of the breast tissue. In some cases a mastopexy is also necessary in order remove excess skin and reposition the nipple to it's anatomically correct position.
Cosmetic Procedures
Dr. Holcombe performs a variety of cosmetic procedures including breast augmentation, mastopexy (breast lift), abdominoplasty (tummy tuck), liposuction, upper blepharoplasty (eyelid lift), and earlobeplasty. During your consultation you will look at pre and post-operative pictures of Dr. Holcombe's patients. Patients interested in breast augmentation will spend time "trying on" implants.
Post-operative Care
Once your surgery is complete you will be taught how to take care of your wounds and be given written instructions to follow at home. If your surgery was done at a surgical facility you will be given discharge papers that will include the date Dr. Holcombe wants you to be seen for post-operative follow up. Please call our office to schedule this appointment.
If you have questions about wound care during regular office hours please call our office and ask to speak with Sarah or Yanet. If it is after office hours and you are concerned you may have a complication call our office number to have the on call physician contacted.
**If you believe you are experiencing a medical emergency call 911**
Copyright © 2018 Travis C. Holcombe, M.D., P.C. - All Rights Reserved. Pa
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