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Northwest Breast Center

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Spokane, WA
Northwest Breast Center

Our board-certified plastic surgeons provide comprehensive breast reconstruction services for WA, ID, MT, & OR

10/19/2022

PSNW’s BRA Day Event is tomorrow!

Looking forward to seeing everyone here!

👨‍⚕️Christopher Pannucci MD
🏥 Board Certified Plastic Surgeon
💻 www.plasticsurgerynorthwest.com
📞 509-838-1010
📍Spokane, WA

**lesparingmastectomy **lereconstruction

10/14/2022

Stacked DIEP/SIEA flap reconstruction
Surgeon:
Stacked DIEP/SIEA flap reconstruction

Sometimes a single blood supply isn’t enough. This patient had blood supplies from opposite corners (medial periumbilical and a more lateral than some SIEA/V), and neither was enough to supply the flap on its own.

To maximize blood supply and minimize risks for fat necrosis, and hooked up both the SIEA/V and the DIEA/V systems. She is doing great post-op!

🏥 Northwest Breast Center at Plastic Surgery Northwest
💻 www.plasticsurgerynorthwest.com
💻 www.northwestbreastcenter.com
📞 509-838-1010
📍Spokane, WA

**lesparingmastectomy **lereconstruction

10/10/2022

Lumpectomy Reconstruction

Surgeon:

This 57 year old had right and left breast cancers, diagnosed about a month apart. She chose lumpectomy + radiation therapy (“breast conservation therapy”) as definitive treatment. After each lumpectomy, performed a parenchymal rearrangement to fill in the post-lumpectomy defect and optimize the shape of the breast…this optimized her shape prior to radiation therapy, without delaying her cancer care.

She is 5 months (right) and 3.5 months (left) from her rearrangement procedures.

🏥 Northwest Breast Center at Plastic Surgery Northwest
💻 www.plasticsurgerynorthwest.com
💻 www.northwestbreastcenter.com
📞 509-838-1010
📍Spokane, WA

**lesparingmastectomy

10/07/2022

Stacked DIEP flap reconstruction

Surgeon:

This 47 year old woman had right ni**le sparing mastectomy and breast reconstruction with stacked DIEP flaps (two flaps for one breast reconstruction).

Why two flaps? Her goals were to be symmetric with the non-cancer side, and she needed more than a hemi-abdomen to accomplish that goal. To keep that tissue alive, two blood supplies were required.

Slide 2 shows that vascular anatomy, with a right medial row perforator hooked to a side branch of the left DIEA/V.

She is six months from DIEPs and two months from revisions in the final photos.

🏥 Northwest Breast Center at Plastic Surgery Northwest
💻 www.plasticsurgerynorthwest.com
💻 www.northwestbreastcenter.com
📞 509-838-1010
📍Spokane, WA

**lesparingmastectomy **lereconstruction

08/16/2022

CT angiogram helps me to draw a blood vessel roadmap, and virtually plan your operation. This patient had an ideal perforating vessel—one that hooked around the inside (medial) border of the re**us muscle. This means that no muscle was injured, no nerves were cut, and the harvest occurred through a 4.5cm incision—great for her postop recovery!

If you are having a DIEP, this is the ideal anatomy!

👨‍⚕️Christopher Pannucci MD

🏥 Board Certified Plastic Surgeon

💻 www.plasticsurgerynorthwest.com

📞 509-838-1010

📍Spokane, WA

**lesparingmastectomy **lereconstruction

07/24/2022

Weight loss improves DIEP results

Surgeon:

Upper abdominal bulging is the result of visceral (intra-abdominal) fat pushing forward, often through a weakness between the six pack muscles ( **usdiastasis).

For elective surgery (eg delayed reconstruction that is not time sensitive), pre-emptive weight loss can optimize the abdominal contour through visceral fat reduction—this improves the functional and aesthetic abdominal outcomes of DIEP breast reconstruction, with improved abdominal healing, tighter re**us plication, and improved aesthetic.

**usdiastasis **lereconstruction

🏥 Northwest Breast Center at Plastic Surgery Northwest
💻 www.plasticsurgerynorthwest.com
💻 www.northwestbreastcenter.com
📞 509-838-1010

📍Spokane, WA

07/15/2022

Cost of Breast Reconstruction

We received this question on our Northwest Breast Center . answers…and we hope that this helps to answer your question about the financials of breast reconstruction.

There is a federal mandate, the Womens Health and Cancer Rights Act of 1998, which ensures that insurance providers that cover mastectomy services must also cover breast reconstruction, including symmetry procedures on the non-cancer side. However, your specific insurance program, including co-pays and deductibles, will also determine what your out-of-pocket costs for breast reconstruction will be.

🏥 Northwest Breast Center at Plastic Surgery Northwest
💻 www.plasticsurgerynorthwest.com
💻 www.northwestbreastcenter.com
📞 509-838-1010
📍Spokane, WA

**lesparingmastectomy **lereconstruction

07/14/2022

Pre-Mastectomy Reduction

Surgeon:

Previvor patients (high risk for breast cancer, usually with genetic mutations) have the opportunity to optimize their breast footprint and ni**le position prior to elective mastectomy. Here, discusses the concept of “pre-habilitation” with a breast reduction prior to mastectomy in a 41 year old patient with a known genetic mutation.

🏥 Northwest Breast Center at Plastic Surgery Northwest
💻 www.plasticsurgerynorthwest.com
💻 www.northwestbreastcenter.com
📞 509-838-1010
📍Spokane, WA

**lesparingmastectomy

Address

530 South Cowley Street
Spokane, WA
99202

Opening Hours

Monday	8am - 5pm
Tuesday	8am - 5am
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 5pm

Telephone

+15098381010

Website

https://www.northwestbreastcenter.com/

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