Mastectomy AFC

ABOUT THE PROVIDER: Therese Cusick STATE: Kansas ABOUT THE PATIENT: Type of AFC Surgery: Mastectomy AFC Bra cup size: Age: 56-75 yrs Race: Black or African American Body type: Normal weight (BMI 18.5-24.9) Incision pattern: Triangle Advancement (IMF or Inverted Gullwing) Surgical Specifications: BEFORE SURGERY: AFTER SURGERY:

Mastectomy AFC

ABOUT THE PROVIDER: Therese Cusick STATE: Kansas ABOUT THE PATIENT: Type of AFC Surgery: Mastectomy AFC Bra cup size: Age: 56-75 yrs Race: White Body type: Normal weight (BMI 18.5-24.9) Incision pattern: Lentiform Elliptical Surgical Specifications: BEFORE SURGERY: AFTER SURGERY:

Mastectomy AFC

ABOUT THE PROVIDER: Therese Cusick STATE: Kansas ABOUT THE PATIENT: Type of AFC Surgery: Mastectomy AFC Bra cup size: Age: 56-75 yrs Race: White Body type: Normal weight (BMI 18.5-24.9) Incision pattern: Lentiform Elliptical Surgical Specifications: BEFORE SURGERY: AFTER SURGERY:

Mastectomy AFC

ABOUT THE PROVIDER: Therese Cusick STATE: Kansas ABOUT THE PATIENT: Type of AFC Surgery: Mastectomy AFC Bra cup size: Age: 56-75 yrs Race: White Body type: Obese cat. I (BMI 30.0-34.9) Incision pattern: Teardrop / Waisted Teardrop Surgical Specifications: BEFORE SURGERY: AFTER SURGERY:

Mastectomy AFC

ABOUT THE PROVIDER: Therese Cusick STATE: Kansas ABOUT THE PATIENT: Type of AFC Surgery: Mastectomy AFC Bra cup size: Age: 56-75 yrs Race: White Body type: Normal weight (BMI 18.5-24.9) Incision pattern: Lentiform Elliptical Surgical Specifications: BEFORE SURGERY: AFTER SURGERY: