breast reconstruction breast reconstruction breast reconstruction breast reconstruction breast reconstruction

Immediate Prophylactic Breast Reconstruction

Objective: Show the use of Strattice to extend the pectoralis major muscle in order to provide improved expander/implant coverage of the lower pole of the breast. This surgery was prophylactic in nature.

Production Log: New challenge: Dr. Spear is 6'4", which means I have to stack three surgical stools to shoot over his shoulder (a personal record). Very small field – lots of hands in a tight space. Camera at the foot of the surgical bed lends relief to any (many) blocked shots. This is where good doctor-to-cameraperson communication is essential for OR shooting. You can’t always be accommodated, but just letting a surgeon know that you are blocked can yield better shots with a minor movement of the head or shoulders. Working in an OR has different dynamics than anywhere else.

Surgeon: Scott L. Spear MD, Chief of Plastic Surgery

Hospital: Georgetown University Hospital, Washington DC

Cameras: (2) Sony HVR – Z1U; Handheld and tripod positioned at the foot of the surgical bed

Editing: Apple Final Cut Pro, Adobe Photoshop, Adobe After Effects

Applications: Web, PowerPoint embedment, DVD, still photos