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.

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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.

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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.

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#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.

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#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.

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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.

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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.

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

Individual results may vary.

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Patient: 45 years old, bilateral mastectomies for breast cancer

Operation: Bilateral immediate free DIEP flaps

Photos: 3.5 years

Individual results may vary.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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.

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.

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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.

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.

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.

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 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.

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.

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: 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 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.

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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.