Reconstructive surgery can help many people in many different ways. Both functional and cosmetic conditions can be treated, especially those caused by disease, injury, aging or birth defects. Dr. Riolo is trained in a wide variety of reconstructive procedures, including the most advanced breast reconstruction techniques.

Breast Reconstruction

Breast reconstruction is performed after mastectomy or lumpectomy. This is a primary focus for Dr. Riolo, and one of the most rewarding surgical procedures that she offers here in Fresno.

With the latest techniques and medical techniques and devices, it is possible to reconstruct the breast(s) to closely match a natural breast appearance.

Tissue Expander and Implant

Tissue expansion is a procedure that enables the body to create extra skin for reconstructing parts of the body. In breast reconstruction, a silicone balloon expander is inserted under the skin. Dr. Riolo then gradually fills it with saline, allowing the skin to stretch and accomodate breast implants.

Latissimus Dorsi Flap reconstruction

In Latissimus dorsi flap reconstruction, Dr. Riolo uses skin, tissue and blood vessels from the upper back to rebuild the breast mound after cancerous breast tissue is removed in mastectomy. If you have lost one or both breasts due to breast cancer, latissimus dorsi flap reconstruction may benefit you.

TRAM Flap Breast Reconstruction

TRAM (Transverse Rectus Abdominus Myocutaneous) flap breast reconstruction is one of the most common techniques for reconstructing breasts after mastectomy. The procedure involves transferring tissues from your abdomen to your breasts. The TRAM flap can be done as a pedicle or free flap procedure.

Revision Breast Reconstruction

Breast reconstruction may be divided into separate stages, with different procedures performed weeks or months after the initial surgery. The most significant part of the surgery is performed to create the breast mound after mastectomy or lumpectomy.

Earlobe Repair

If you’ve experienced an injury to your earlobe, earlobe repair surgery may be able to help. The procedure is commonly performed after an earring gets torn out, damaging the earlobe. The surgical repair is usually a very simple procedure. Using a local anesthetic to control pain, Dr Riolo makes careful incisions around the spilt and then sutures the earlobe back together.

Scar Revision

Scars that result from injury, surgery, or burns can sometimes be functionally improved through scar revision. Reconstructive surgeons can also improve the appearance of a scar, making it less obvious through the injection or application of certain steroid medications or through surgical procedures known as scar revisions.

Skin Cancer Removal

Skin cancer is diagnosed by removing all or part of a skin growth and examining its cells under a microscope. It can be treated by a number of methods, depending on the type of cancer, its stage of growth, and its location on your body.

Acellular Dermal Replacement

Acellular dermal replacement products like Alloderm® and Strattice® are used during several types of reconstructive surgery. Alloderm and Strattice are called regenerative tissue matrix products—they are used to replace tissue during reconstructive surgery. LifeCell manufactures both products. The products are used in similar ways, but they are created from different sources.