15. Bilateral breast reconstruction- gel implants and latissimus flap
This woman came in to discuss breast reconstruction after previously having a lumpectomy and radiation on the right breast. She has a history of bilateral breast augmentation. After additional concerning mammograms, she decided to pursue bilateral mastectomies and immediate breast reconstruction. Due to her radiated tissue on the right breast, her skin tightened significantly causing a capsular contracture. About a year after her initial surgery we preformed a latissimus flap, using her own tissue, to augment the soft tissue envelope. She then completed a nipple reconstruction and areola tattooing by James Allen at Anchorage Tattoo Studio. Following this journey, this patient is very delighted with her health and her new breasts.
14. Bilateral breast reconstruction – two stage tissue expander/ implant
This woman underwent bilateral skin sparing mastectomies with immediate tissue expander reconstruction. She then went on to have the expanders replaced with a permanent gel implant. Finally she completed nipple reconstruction and nipple tattooing.
13. Bilateral breast reconstruction – direct to implant reconstruction
This woman had undergone previous breast augmentation. She was diagnosed with left breast cancer and was found to be BRCA-2 positive. She underwent bilateral nipple sparing mastectomies with one stage reconstruction with silicone gel implants. This is the result 6 weeks post op.
12. Bilateral breast reconstruction- one stage implant reconstruction
This woman underwent prophylactic bilateral mastectomies for BRCA-1. She underwent one stage implant reconstruction with placement of gel implants. She chose not to proceed with nipple reconstruction or tattooing. She has great shape and is very pleased with her results.
11. Bilateral Breast Reconstruction
This woman underwent bilateral mastectomies and immediate reconstruction with tissue expanders. She then had tissue expanders removed and gel implants placed. Her scars are fading nicely and the patient is happy with the result.
10. Breast Reconstruction / Implant Reconstruction
This woman was diagnosed with breast cancer and underwent bilateral mastectomies as treatment. She chose to proceed with breast reconstruction using implants, which in the United States is by far the most common way to proceed when no radiation is required. Unfortunately, she initially lost her right tissue expander due to early infection, but this was replaced, and she proceeded smoothly to reconstruction with bilateral soft gel implants. The nipple is reconstructed with small mounds of skin, and the tattooing is used to reconstruct the areola. These are amongst some of our most grateful patients, as reconstruction often restores a sense of wholeness that can be lost after cancer and mastectomy.
Prior to mastectomy:
After placement of tissue expanders:
After exchange to gel implants, nipple reconstruction, and tattooing:
9. Breast Reconstruction / Implant Reconstruction
This 52 year old woman underwent mastectomies for breast cancer. This is an example of a staged reconstruction, whereby we started with placement of tissue expanders, later exchanged for permanent silicone gel implants, and finally finish with nipple reconstruction and nipple/areolar tattooing.
8. Breast Reconstruction / Nipple sparing mastectomy / Implant Reconstruction
This young woman underwent bilateral nipple mastectomies.She experienced complications including implant infection, but was ultimately successfully reconstructed with silicone gel breast implants and alloderm.
7. Right lumpectomy and radiation causing pain and contraction of the breast:
Treated with breast lift and reduction for symmetry
This patient was treated with right lumpectomy (partial mastectomy) and radiation years ago for a localized breast cancer. She experienced volume loss of the right breast, pain, and distortion. She underwent bilateral breast lift/reduction for symmetry. Although unexpected, this luckily also resulted in resolution of her right sided breast pain.
6. Right breast reconstruction after mastectomy and radiation using pedicled TRAM flap
This middle aged woman required full mastectomy and then left chest wall radiation to treat her breast cancer. She required transfer of skin and fat to reconstruct her left breast; implant reconstruction was impossible. Reconstruction was performed using a tissue from her abdomen (pedicled TRAM flap). The flap was sculpted to better match the right side in a second procedure, and this was then followed by nipple reconstruction and tattooing.
5. Breast Reconstruction / Tissue Expander / Implant
4. Breast Reconstruction / Unilateral Deep Inferior Epigastric Perforator Flap (DIEP) and contralateral breast augmentation
This young women required a complete right sided mastectomy for treatment of breast cancer. She was left with an indented and retracted right chest wall. She underwent reconstruction using abdominal tissues. Although it could have been made smaller at a second stage, she desired left breast augmentation for symmetry, and ultimately finished the process one year later with nipple reconstruction and tattooing.
3. Breast Reconstruction / Bilateral Deep Inferior Epigastric Artery Perforator Flap (DIEP) using Abdominal Tissue
2. Breast Reconstruction / Tissue Expander / Implant
- Breast Reconstruction / Unilateral Deep Inferior Epigastric Perforator Flap (DIEP) and contralateral breast augmentation
Before mastectomy. After mastectomy and radiation
Unilateral reconstruction After revision and left augmentation
After temporary tattooing of nipple and areola.
