Patient: 57 years old, prior left free muscle-sparing TRAM reconstruction. Now with left upper pole contour defect.
Operation: Two rounds of fat grafting to upper pole; final photo is 2 months after second round of fat grafting.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 45 years old, prior bilateral mastectomies and free DIEP flap reconstruction. Now with right upper pole contour defect
Operation: Fat grafting to right upper pole
Photos: 2 years

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 57 years old, left belly-based and right implant-based reconstruction

Operation: Left nipple and areola creation

Photos: 4 months

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 52 year old with left breast cancer, prior left DIEP and right brest reduction

Surgery: Left nipple/areola creation

Photos: 2 months

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 61 year old with left breast cancer, history of breast implants
Surgery: Stage I lumpectomy, left breast implant removal, parenchymal rearrangement. Stage II right breast implant removal, mastopexy for symmetry
Photos: 15 months, after radiation therapy

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 49 year old with left breast cancer
Surgery: Left breast lumpectomy and parenchymal rearrangement; right breast reduction for symmetry
Photos: 15 months (after radiation therapy)

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Emily A. Williams, MD

SURGERY: Bilateral Breast Reconstruction using Muscle Sparing TRAM Flaps and Placement of Mesh for Reinforcement

DIAGNOSIS: Right Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Emily A. Williams, MD

SURGERY: Breast Reconstruction following lumpectomy and radiation

DIAGNOSIS: Breast Cancer

Right breast reconstruction using tissue rearrangement 10 days following lumpectomy, left breast reduction was done for symmetry prior to radiation.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

83 year old woman with left breast cancer. Left parenchymal rearrangement after lumpectomy and right reduction for symmetry. Photos at six months.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

48 year old who previously had abdominal based free flaps, now desiring nipple reconstruction.
Operation: Bilateral nipple reconstruction with areola tattooing
Photos at five months after surgery.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

61 year old woman who had fat grafting to bilateral medial breasts for improved contour after DIEP. Photos at 4 months.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

36 year old with Implant based reconstruction following radiation treatment with use of tissue expanders

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

52 year old woman with kiwi-sized defect after right breast lumpectomy. Reconstruction performed with pedicled serratus branch perforator flap. Photos at one month, just prior to radiation therapy.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

SURGERY: Right breast reduction for symmetry, Fat grafting for treatment of left lumpectomy deformity and right tethered port scar, totaling 40 cc
DIAGNOSIS: Breast asymmetry following left lumpectomy and radiation, Right macromastia, breast deformity due to tethering at the site of lumpectomy, Tethered right upper chest port scar

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Janelle Sousa, MD
SURGERY: Left oncoplastic breast reduction, wise pattern skin excision, superior nipple pedicle
DIAGNOSIS: Personal history of left breast cancer, Status post left breast lumpectomy, Symptomatic macromastia

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Janelle Sousa, MD
SURGERY: Bilateral breast reconstruction using free abdominal tissue DIEP flaps following bilateral nipple sparing mastectomy.
DIAGNOSIS: Personal history of breast cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

48 years old, bilateral mastectomy for breast cancer. Operation: Stage I immediate bilateral DIEP. Stage II: Nipple reconstruction. Photos at ten months from Stage I and 5 months from Stage II

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

#diepflap #breastreconstruction can achieve natural appearing results as experienced by this #breastcancersurvivor. This patient underwent two operations to achieve her #breastreconstruction goals. The first surgery included her nipple sparing mastectomy and DIEP surgery. The second operation focused on symmetry and contour. #plasticsurgerynorthwest #breastcancer #breastcancerjourney #diepfreeflap #diepflap #diep.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

45 year old woman who had delayed breast reconstruction with Stage I tissue expander placement and Stage II exchange for permanent silicone implants. Photos at 4 months from Stage II

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

57 year old woman who had left breast cancer and bilateral nipple sparing mastectomies through an inframammary fold approach. Stage I tissue pre-pectoral tissue expanders and Stage II tissue expander to implant exchange with fat grafting. Photos at 6 months from Stage I and 10 weeks from Stage II.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

#BRCA gene mutations can dramatically change a person’s risk of cancer. This patient underwent bilateral risk-reducing prophylactic #nipplesparing #mastectomy and immediate #breastreconstruction with #DIEP free flaps. The follow up photos were taken after a #breastrevision surgery for balance and symmetry. #plasticsurgerynorthwest #breastreconstruction #diep #diepflap #brca

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 51 year old who had bilateral nipple taking mastectomies for breast cancer.
Reconstruction: Bilateral DIEP flaps. A small open wound on the right breast (mastectomy flap necrosis) was reconstructed with a full thickness skin graft. She elected not to have nipple reconstruction.
Photos: 4 months

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

61 year old woman who had Stage I DIEP reconstruction after nipple sparing mastectomy and Stage II medial breast fat grafting and removal of abdominal skin island. Photos at 8 months from Stage I and 4 months from Stage II.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Before and after #nipplesparingmastectomy and staged, implant-based #breastreconstruction with tissue expanders and AlloDerm followed by device exchange to 415 mL smooth, round full profile silicone gel implants. #plasticsurgerynorthwest #breastreconstruction #implantbreastreconstruction #breastcancer #breastcancerjourney #breastcancersurvior

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

52 year old female who underwent bilateral nipple sparing mastectomy with DIEP reconstruction. photos taken 1 year post op

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 45 years old, bilateral mastectomies for breast cancer

Operation: Bilateral immediate free DIEP flaps

Photos: 3.5 years

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

46 year old woman with breast cancer, who had two staged reconstruction with tissue expanders and permanent silicone implants. Photos at 4 months after Stage II.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 45 year old, prior bilateral breast reduction, now with left breast cancer

Operation: Immediate left breast reconstruction with DIEP flap

Photos: 7 months

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

36 year old with Implant based reconstruction following radiation treatment with use of tissue expanders

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD
SURGERY: Bilateral delayed breast reconstruction using DIEP flaps, followed by revisions and fat grafting from flank to breasts, followed by nipple reconstruction and areola tattooing
DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 48 year old with left breast cancer

Operation: Stage I left mastectomy and pre-pectoral tissue expander with acellular dermal matrix; Stage II tissue expander to silicone implant exchange and right mastopexy

Photos: 7 months from Stage II

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 56 year old who is 13 years out from mastectomies and belly-based free flaps, now with 70 pound weight loss and deflated appearance of reconstructed breasts
Surgery: Bilateral split-muscle augmentation with 345cc implants
Post-op time: 10 weeks

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 57 years old, history of bilateral mastectomy, prior lost expander on the left.

Operation: Stage I left free muscle-sparing TRAM, stage II left breast fat grafting and right tissue expander to implant exchange, stage III left breast fat grafting and nipple/areola creation

Photos: 13 months after Stage I, 8 months after stage II, 4 months after stage III

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 38 years old, history of right breast cancer, bilateral mastectomy, bilateral implant reconstruction and right radiation.
Operation: Stage I right latissimus muscle/skin flap and tissue expander. Stage II right tissue expander to implant, left implant up-size
Photos: 2 years

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 45 years old, BRCA positive, desires nipple sparing mastectomy and immediate reconstruction
Operation: Immediate bilateral reconstruction with free DIEP flaps
Photos: 13 months

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Emily A. Williams, MD

SURGERY: Breast Reconstruction with DIEP Flaps

DIAGNOSIS: Breast Cancer

Bilateral breast reconstruction with DIEP flaps. Followed by breast revisions, nipple reconstruction and nipple tattoos. Results at 3 months after nipple tattoos and 1 year after initial reconstruction.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD
SURGERY: Left placement of tissue expanders following left nipple sparing mastectomy and left placement of AlloDerm for soft tissue reinforcement of breast. 3 months later followed by left tissue expander removal and replacement with silicone implant to match right breast
DIAGNOSIS: Left breast cancer, left axillary deformity

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 52 year old with left breast cancer
Surgery: Stage I left mastectomy and immediate DIEP; Stage II right breast reduction; Stage III left nipple/areola creation and flank contouring
Photos: 15 months after Stage I, 11 months after Stage II, 2 months after Stage III

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Breast Reconstruction with Tissue Expander Placement and Alloderm for Breast Soft Tissue Reinforcement

DIAGNOSIS: Breast Cancer

Immediate breast reconstruction using tissue expanders and alloderm following bilateral nipple sparing mastectomies.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 37 year old with history of left breast cancer treated with lumpectomy and radiation. Now with recurrent left breast cancer.

Operation: Stage I left mastectomy, latissimus muscle/skin flap, and tissue expander. Stage II left tissue expander to implant and right breast augmentation for symmetry.

Photos: 2 months

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 47 year old with history of right breast cancer, mastectomy, and radiation

Surgery: Stage I right muscle sparing free TRAM for breast reconstruction; Stage II left breast reduction

Photos: 7 months after Stage I, 4 months after Stage II

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 44 years old, left mastectomy for breast cancer

Operation: Stage I immediate left breast reconstruction with DIEP flap, Stage II right breast reduction, Stage III right breast re-reduction and left nipple/areola reconstruction

Photos: 3.5 years from Stage I, 3 years from Stage II, 6 months from Stage III

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 40 years old, bilateral mastectomies for breast cancer
Operation: Stage I pre-pectoral tissue expanders and acellular dermal matrix; Stage II tissue expander to implant exchange (400cc silicone)
Photos: 2 months after Stage II

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD
SURGERY: Bilateral breast reconstruction using DIEP flaps with abdominal mesh placement for reinforcement of abdominal wall, followed by revisions and fat grafting from flank to breasts, followed by nipple reconstruction and areola tattooing
DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 43 year old with prior left mastectomy and radiation therapy

Operation: Delayed left breast reconstruction with free muscle sparing TRAM flap

Photos: 1.5 years

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD
SURGERY: Bilateral breast reconstruction using DIEP flaps with abdominal mesh placement for reinforcement of abdominal wall, followed by revisions and fat grafting from flank to breasts, followed by nipple reconstruction and areola tattooing
DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 44 year old with right breast cancer
Operation: Right nipple sparing mastectomy and immediate free DIEP reconstruction
Photos: 5 months

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 29 years old, history of bilateral mastectomy and left sided radiation

Operation: Stage I right subpectoral tissue expander and left latissimus muscle/skin flap with tissue expander; Stage II bilateral tissue expander to silicone implant exchange

Photos: 10 months

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

SURGERY: Bilateral immediate breast reconstruction using DIEP flaps, followed by revisions and fat grafting from flank to breasts, followed by nipple reconstruction and cosmetic flank liposuction, followed by areola tattooing
DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient: 51 year old with breast cancer desiring bilateral mastectomy

Operation: Stage I bilateral pre-pectoral tissue expander with acellular dermal matrix; Stage II bilateral tissue expander to silicone implant exchange

Photos: 6 months after Stage II

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Breast Reconstruction with Tissue Expander Placement and Alloderm Placement for Breast Soft Tissue Reinforcement

DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Bilateral immediate breast reconstruction with DIEP flap, followed by revisions and fat grafting, pending nipple reconstruction.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD
SURGERY: Bilateral placement of tissue expanders following bilateral nipple taking mastectomy and bilateral placement of AlloDerm for soft tissue reinforcement of breast. 3 months later followed by bilateral tissue expander removal and replacement with silicone implants
DIAGNOSIS: Right breast cancer, Bilateral axillary defects

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral breast reconstruction with DIEP flaps

DIAGNOSIS: Breast Cancer

Bilateral breast reconstruction with muscle-sparing free TRAM flaps

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Bilateral delayed Breast Reconstruction with Tissue Expanders and Latissimus Flap followed by placement of permanent implants 3 months later.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

SURGERY: Bilateral placement of tissue expanders following bilateral nipple taking mastectomy and bilateral placement of AlloDerm for soft tissue reinforcement of breast. 3 months later followed by bilateral tissue expander removal and replacement with silicone implants
DIAGNOSIS: Breast cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Breast Reconstruction using DIEP and mesh followed by bilateral nipple reconstruction and fat grafting to breasts

DIAGNOSIS: Breast Cancer

Bilateral delayed breast reconstruction using free abdominal tissue. Patient was 11 months out from bilateral mastectomies, chemotherapy and radiation. Revisions and nipple reconstruction were done during separate procedures.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Bilateral breast reconstruction with Tissue Expanders followed by exchange to permanent implants 3 months later. Completed with nipple reconstruction 3 months later.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Breast Reconstruction Using Free Abdominal Tissue, DIEP Flaps

DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD
SURGERY: Bilateral Breast Reconstruction using Tissue Expanders

DIAGNOSIS: Breast Cancer

Bilateral implant based breast reconstruction following simple mastectomies. Reconstruction was done in 4 stages with procedures done approximately 3 months apart. Initial placement of tissue expanders followed by breast revisions and placement of permanent implants, followed by nipple reconstruction and the final stage of nipple tattooing.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Nipple Sparing Mastectomies with immediate Breast Reconstruction using Tissue Expanders

DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Emily A. Williams, MD

SURGERY: Bilateral breast reconstruction with muscle-sparing free TRAM flaps

DIAGNOSIS: Breast Cancer

Bilateral breast reconstruction with muscle-sparing free TRAM flaps

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Breast Reconstruction using Tissue Expanders

DIAGNOSIS: Breast Cancer

Bilateral implant based breast reconstruction using done in 4 stages with approximately 3 months in between each procedure. Initial placement of tissue expanders followed by breast revisions and placement of permanent implants, followed by nipple reconstruction and additional revisions with fat grafting, followed with the final step of 3D nipple tattooing.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Breast Reconstruction using tissue expanders

DIAGNOSIS: Breast Cancer

Bilateral implant based breast reconstruction following bilateral simple mastectomies. 4 stages of reconstruction staged approximately 3 months in between each procedure. Tissue Expanders and Alloderm placement followed by bilateral breast revisions and placement of permanent silicone implants, followed by nipple reconstruction and additional revisions with fat grafting, followed by the final stage of nipple tattooing.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Immediate Breast Reconstruction DIEP Flaps, followed by Revisions and Fat Grafting from Flanks to Breasts, followed by Nipple Reconstruction and Areola Tattooing

DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral breast reconstruction using tissues expanders following prophylactic nipple sparing mastectomies

DIAGNOSIS: Strong family history of breast cancer

Bilateral breast reconstruction using tissues expanders following prophylactic nipple sparing mastectomies. Reconstruction was done in 2 stages: 1. Placement of tissue expanders and Alloderm, 2. Breast revisions and placement of permanent, silicone implants

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Breast Reconstruction with Tissue Expanders and Alloderm

DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Breast Reconstruction using DIEP flaps, Followed by Revisions, Nipple Reconstruction and Areola Tattooing

DIAGNOSIS: Breast Cancer

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Bilateral immediate Breast Reconstruction with DIEP Flap followed by revisions with fat grafting. Nipple reconstruction and areola tattoos pending.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Chad K. Wheeler, MD

SURGERY: Bilateral Prophylactic DIEP Flap Breast Reconstruction Following Bilateral Simple Mastectomies

DIAGNOSIS: BRCA 2+ Gene Mutation

Bilateral mastectomies with immediate breast reconstruction using TRAM flap. Followed 4 months later with breast revisions and cosmetic liposuction. Followed 3 months later with Nipple Reconstruction and finished with Areola Tattooing.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Emily A. Williams, MD

SURGERY: Breast Reconstruction with DIEP Flaps

DIAGNOSIS: Breast Cancer

Bilateral staged breast reconstruction with DIEP flaps followed by revisions, nipple reconstruction and nipple tattooing. Results 6 months after nipple tattoos and 18 months after initial reconstruction.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Bilateral breast reconstruction with DIEP Flap followed by bilateral breast revisions with fat grafting and skin excision 3 months later. Completed with nipple reconstruction 3 months later. . Pending areola tattoos.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Emily A. Williams, MD

SURGERY: Breast Reconstruction with Free TRAM Flaps

DIAGNOSIS: Personal History of Breast Cancer

Bilateral delayed breast reconstruction with Free TRAM Flaps. Followed by breast revisions, nipple reconstruction and nipple tattooing. Results at 6 months after nipple tattoos and 18 months after initial reconstruction.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Bilateral immediate Breast Reconstruction with DIEP Flap (nipple sparing mastectomies) followed by revisions with fat grafting.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Emily A. Williams, MD

SURGERY: Breast Reconstruction with DIEP Flaps

DIAGNOSIS: Genetic Susceptibility to Breast Cancer (BRCA positive)

Bilateral breast reconstruction with DIEP flaps. Followed 3 months later by breast revisions. Results at 1 year.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Bilateral breast reconstruction with DIEP Flap followed by bilateral breast revisions with fat grafting 3 months later. Completed with nipple reconstruction 3 months later. . Pending areola tattoos.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Patient is mid-reconstruction. Stage 1, bilateral breast reconstruction with DIEP Flap. Stage 2, bilateral breast revisions with fat grafting. Pending revisions for symmetry, nipple reconstruction and areola tattoos.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.

Bilateral Breast Reconstruction with DIEP flap, followed by revisions and fat grafting for symmetry.

Individual results may vary.

Click here to contact Northwest Breast Center and set up a consultation.