Here is one of my most recent medical illustrations. It was for Dr. Adam Kolker of Mt. Sinai School of Medicine in New York. It depicts a new technique for postmastectomy reconstruction where Dr. Kolker places a tissue expander beneath the pectoralis major and serratus muscles and use an allograft to cover the rest.

Michael A. Cooley, Breast Reconstruction Figure 1, Digital, 2015
This illustration depicts the surgeon using a electrocautery to undermine the pectoralis major and serratus anterior muscles. This allows him to maintain continuity with the pectoralis major and serratus muscles and create a pocket for the tissue expander.

Michael A. Cooley, Breast Reconstruction Figure 2, Digital, 2015
This illustration depicts the implant (tissue expander) beneath the serratus and the pectoralis major, covered by the allograft (Alloderm) layer.
Until next time,
Michael