Medical Specialty:
Cosmetic / Plastic Surgery
Sample Name: Capsulotomy & Flat Advancement, Left Breast
Description: Capsulotomy left breast and flat advancement V to Y, left breast, for correction of lower pole defect (breast assymetry) status post previous breast surgery.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSIS: Breast assymetry, status post previous breast surgery.
POSTOPERATIVE DIAGNOSIS: Breast assymetry, status post previous breast surgery.
OPERATION: Capsulotomy left breast, flat advancement V to Y left breast for correction lower pole defect.
ANESTHESIA: LMA.
FINDINGS AND PROCEDURE: The patient is a 35-year-old female who presents status post multiple breast surgeries with resultant flatness of the lower pole of the left breast. The nipple inframammary fold distance is approximately 1.5 cm shorter than the fuller right breast. The patient has bilateral Mentor-Smooth round moderate projection jell-filled mammary prosthesis, 225 cc.
The anesthesia was terminated and the patient was recovered in the operating room. Sponge, instrument, needle count reported as corrected. Estimated blood loss negligible.
Keywords: cosmetic / plastic surgery, capsulotomy, biosyn, breast, breast assymetry, kefzol, mentor-smooth, breast surgeries, flat advancement, inframammary fold, lower pole defect, mammary, mammary prosthesis, nipple, breast surgery, assymetry, inframammary, capsule,