HAND & RECONSTRUCTION PROCEDURES
Breast Reconstruction
Although an increasing number of women with breast cancer are choosing breast conservation therapy, there are some women who, for medical or personal reasons, choose mastectomy. Some of these women also choose to have reconstructive surgery to restore the breast's appearance. Technical advances in microvascular surgery (reattaching blood vessels) have made perforator free flap procedures ( DIEP,SIEA, TDAP, SGAP )an option for breast reconstruction. Dr. Salomon helped introduce this this state of the art surgery at Yale-New Haven Hospital.Recent studies suggest that a new procedures known as skin-sparing or nipple-sparing mastectomy are as effective as the usual type of modified radical mastectomy for many women, and offers the advantage of less scar deformity and a reconstructed breast that seems more natural. For several years, concern over a possible link between breast implants and immune system diseases has discouraged some women from choosing implants as a method of breast reconstruction. Recent studies have thoroughly evaluated this complex issue. Although women should be aware that implants can cause some side effects (such as firm or hard scar tissue formation), they can be assured that women with implants do not have any greater risk for immune system diseases than women who have not had this surgery. Similarly, the concern that breast implants increase cancer risk is not supported by reliable evidence.Dr. Salomon offers both immediate or delayed post mastectomy expander/implant reconstruction, followed by nipple reconstruction.
For further information on breast reconstruction after mastectomy, you may click here to visit the American Cancer Society website.
Breast Reduction
Breast reduction (mammaplasty) is a procedure to remove fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to achieve relief of the symptoms of enlarged breasts (macromastia) by making smaller, better-shaped breasts in proportion with the rest of the body. The symptoms of macromasia usually involve back or neck pain. Some patients have signs of skin rashes under the enlarged breasts, shoulder grooves from bra strap marks, and poor posture. Symptoms of macromastia often begin during teenage years.
Endoscopic Carpal Tunnel Release Surgery
Endoscopic Carpal Tunnel Release Surgery is done with aid of an arthroscope through a less- than-one-inch incision in the wrist crease. The small incision results in less post-operative pain, and a faster recovery with results equivalent to traditional surgical technique with the incision in the palm.The surgery releases pressure on the hand's major nerve, which runs through a passageway in the wrist called the carpal tunnel. Pressure may be caused by disease (such as rheumatoid arthritis), injury, fluid retention, overuse, or repetitive motion. The pressure causes tingling in the hand, numbness, aching, and can lead to impaired hand function (carpal tunnel syndrome).
Eyelid Surgery
Eyelid surgery (blepharoplasty) is a procedure to remove fat, usually along with excess skin and muscle, from the upper and lower eyelids. The surgery is done to correct the drooping skin and bulging fat bags that result in a tired appearance. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift. The lower lid surgery is often done without a visible skin incision. Upper lid surgery is often suitable to be done in the office! For those of you who have noticed thinning or loss of your eyelashes, Latisse® is a once a night topical medication that really works to thicken, lengthen and, darken your eyelashes in just 16 weeks.
Skin Cancer Surgery
Treatment of all categories of skin cancers of the face, body and extremities. Call for more information: (203) 624 - 4346
Trigger Finger Release
Trigger Finger Release is done through a minimal incision in the palm corresponding to the area of maximal discomfort overlying the flexor tendon that is involved. Surgical division of the involved pulley resolves the inflammation and locking (triggering) of the digit or thumb. The disorder is more common with overuse activities, especially in diabetics.