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need help on this procedure . Guessing CPT CODE 20926, 21235 ?????11954?
, 15877?please
Patient had a fat grafting to the left breast to match the reconstructed right breast and then had a cartilage graft to the right nipple to increase projection of the reconstructed nipple .
liposuction of back flank area with fat injection to left breast with nipple revision of rt breast
Operative Report :
The patient was taken to the operative room , placed on adequate general endotracheal anesthesia. Procedure was begun in a prone position in order to access fat from the posterior flanks and thighs. After prepping and draping, the patient was infliltrated with a liter of tumenescent solution, which included 2 amps of adrenaline solution. After waiting 20 minutes, a 5mm cannula was used to harvest fat and the patient wounds were closed and the patient was turned back into supine position and re prepped and re draped. 20 minutes of decanting , the fat was separated from its fluid and the flap was then loaded into 3 cc syringes, and using four ports, the fat was injected in all layers of the breast including the pectorais muscle.
A toal of 110 cc of fat was injected in the lower medial quadrant, 150 cc in lower lateral quadrant, 40 cc in upper medial quadrant, and 50 cc in upper lateral quadrant.
So this is a total of 350 cc of fat injected. Then the patient had an adequate projection of the rt nipple areolar complex and a small cartilage craft was harvested in the concha of the left ear. Through an anterior approach, the donor site was closed with 6-0 prolene sutures. The cap on previous reconstruction areola was opened and the cartilage graft was inserted into the areola. Repair was by 5-0 suture..
, 15877?please
Patient had a fat grafting to the left breast to match the reconstructed right breast and then had a cartilage graft to the right nipple to increase projection of the reconstructed nipple .
liposuction of back flank area with fat injection to left breast with nipple revision of rt breast
Operative Report :
The patient was taken to the operative room , placed on adequate general endotracheal anesthesia. Procedure was begun in a prone position in order to access fat from the posterior flanks and thighs. After prepping and draping, the patient was infliltrated with a liter of tumenescent solution, which included 2 amps of adrenaline solution. After waiting 20 minutes, a 5mm cannula was used to harvest fat and the patient wounds were closed and the patient was turned back into supine position and re prepped and re draped. 20 minutes of decanting , the fat was separated from its fluid and the flap was then loaded into 3 cc syringes, and using four ports, the fat was injected in all layers of the breast including the pectorais muscle.
A toal of 110 cc of fat was injected in the lower medial quadrant, 150 cc in lower lateral quadrant, 40 cc in upper medial quadrant, and 50 cc in upper lateral quadrant.
So this is a total of 350 cc of fat injected. Then the patient had an adequate projection of the rt nipple areolar complex and a small cartilage craft was harvested in the concha of the left ear. Through an anterior approach, the donor site was closed with 6-0 prolene sutures. The cap on previous reconstruction areola was opened and the cartilage graft was inserted into the areola. Repair was by 5-0 suture..