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:
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.
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.
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.
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.
Breast Reconstruction / Tissue Expander / Implant
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.
Breast Reconstruction / Bilateral Deep Inferior Epigastric Artery Perforator Flap (DIEP) using Abdominal Tissue
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.
