Endoscopic fenestration of suprasellar cyst in a 4 years old girl

Breast reduction can relieve strain from shoulder straps, neck, back, and upper arms.
It can provide an uplift to help clothes fit and look better. Traditionally, insurance companies would provide benefits for a broad range of breast sizes and gram weight of tissue to be removed from each breast. At present most insurance companies limit authorization when the doctor plans to remove less than 500gm weight per breast. Since many patients present with symptoms in a D cup to DD cup, often, the very removal of over 500 grams weight may reduce the breasts too much. This amount of reduction may not be in harmony with body shape. Newer methods of breast assembly after reduction, will tighten things using internal brassiere techniques that also compact and reduce breast volume. Therefore, a gram weight reduction of 500gms in some patients combined with internal tightening efforts, could pose an over-reduction. With the unreliability of insurance support in some cases, it is best not to look solely at gram weight in the surgical planning of breast reduction. When excess skin and weight is removed, the improved location of the breasts on the chest will give marked relief of symptoms.

Surgery takes from 2 to 5 hours and can be done as an outpatient or with a brief overnight stay. When possible, no scarring other than around the areola can be planned which follows the Brazilian and French methods (Goes and Benelli). For very large reductions, a vertical method, or T pattern approach is offered. Recovery is a few days, with special care to avoid strain for 4 to 6 weeks. Some soreness may persist for a few weeks. The breasts can appear tight, swollen, and bruised at first, but will usually settle to their near final look by 6 weeks. There may be sutures to be removed in some cases. Costs relate to the severity of the sag, and weight of the breasts.

The operation can make a stunning change in body image, relief of upper body symptoms, and offer a cosmetic lift to naturally sloping breasts.

Medical Female Breast Exam

Adult circumcision video

Educational video of male patient receiving an anoscopy.

a video showing the correct position for needle holding

Fistulotomy - Removal of Seton

Perineal Protectomy for Rectal Prolapse

Defecography showing Normal Defecation

Defecography showing Anterior Rectal Wall Prolapse

DMC Neurosurgeon Sandeep Mittal maps the brain and performs delicate surgery to remove epileptic tissue, and stop a patient's seizures. ~ Detroit Medical Center

Foramen Magnum Neurofibroma Complete surgical removal.No Deficit

Calcified Brain Abcess complete removal,
surgery

The video will describe mediastinal structures as they are seen on X-ray. Please see web site for disclaimer.

Subtotal Thyroidectomy

Video of Laparoscopic treatment of a large Umbilical Hernia in an obese patient.

removal of an infected mesh

3D Knee Replacement Surgery

Wedge Resection of a gastric GIST

Laparostomy is a surgical condition in which the abdomen is left open to contrast a condition named Abdominal Compartment Syndrome