52-year-old female who presented with right breast cancer and underwent Stage 1 breast reconstruction with DIEP free flaps followed by Stage 2 breast reconstruction with small pre-pectoral breast implants, and fat grafting. Follow up photos taken 2 years after initial reconstruction.

Individual results may vary.

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53-year-old patient status post nipple sparing mastectomy and stage 1 breast reconstruction with DIEP free flaps and 3 months after stage 2 breast reconstruction with a small pre-pectoral breast implant and fat grafting.

Individual results may vary.

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67-year-old with left breast cancer status post left mastectomy and immediate stage 1 breast reconstruction with DIEP free flap. The stage 2 operation included right breast lift for improved symmetry and left nipple-areola reconstruction. The patient chose not to tattoo the reconstructed nipple and areola.

Individual results may vary.

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This 64 year old breast cancer patient is shown ten months out from DIEP breast reconstruction and 5 months from revision surgery including nipple reconstruction. She subsequently had areola tattoos.

Individual results may vary.

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46 year old woman with right breast cancer, who had nipple sparing mastectomy and reconstruction with two DIEP flaps. She is 6 months from surgery in the photos.

Individual results may vary.

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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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52 year old woman who had nipple-taking mastectomies for breast cancer, reconstruction with DIEP flaps from abdomen, and revision surgery (fat grafting and nipple reconstruction). Final photos at 6 months from revision surgery.

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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57 year old woman with prior right breast cancer and belly-based reconstruction, now with a new left breast cancer diagnosis. She had left mastectomy and stacked PAP (profunda artery perforator) flaps from the inner thighs—two flaps for one left breast reconstruction. She is nine months from initial and 5 months from revision surgery in the photos.

Individual results may vary.

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43 year old woman with BRCA mutation who had Stage I breast reduction to make her a candidate for Stage II nipple sparing mastectomy and DIEP flap reconstruction. She also had Stage III revisions. Final photos are 13 months from reduction and 7 months from DIEP reconstruction.

Individual results may vary.

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62 year old woman who had Stage I left mastectomy and bipedicled DIEP flap (two flaps for one breast), followed by Stage II left breast revision and right breast fat grafting for symmetry. Photos at 7 months from Stage I and 3.5 months from Stage II

Individual results may vary.

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48 year old woman with breast cancer who had Stage I wise-pattern mastectomy and DIEP reconstruction, Stage II breast revision and fat grafting, and Stage III nipple reconstruction. Photos at 11 months from DIEP surgery

Individual results may vary.

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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.

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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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49 year old woman who had mastectomies for breast cancer, followed one week later by bilateral DIEP flaps. She had a Stage II revision for fat grafting and nipple reconstruction. Final photos are 11 months from Stage I and 5 months from Stage II.

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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#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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65 year old woman who had bilateral mastectomy with immediate tissue expander placement in COVID. She subsequently had bilateral DIEP flap reconstruction and two rounds of revision surgery. She is 1.5 years from DIEP flap, and 4 months from final revision in the photos.

Individual results may vary.

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

61 year old woman who had bilateral mastectomies for breast cancer with Stage I DIEPs and Stage II revision and nipple reconstruction. Photos at 10 months from DIEP and 5 months from revision.

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.

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

49 year old woman who had left mastectomy with radiation, followed by re-radiation for chest wall recurrence. She had Stage I DIEP flap for left breast reconstruction, Stage II DIEP flap revision and left breast fat grafting with revision of another surgeon’s right augmentation/mastopexy, and Stage III nipple reconstruction. Photos at 1.5 years after Stage I, 10 months after Stage III, and 6 months after Stage III.

Individual results may vary.

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

37 year old BRCA patient who had bilateral mastectomy and DIEP, followed by one surgery for revision and fat grafting. Photos are 6 months after DIEP and 3 months after revision.

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.

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

56 year old woman with breast cancer who had mastectomies and tissue expanders during COVID, followed by DIEP reconstruction and revision surgeries. Her photos are 15 months after DIEP flap and 3 months after final revision surgery.

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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57 year old woman who had bilateral mastectomies for breast cancer. Her definitive reconstruction was bilateral DIEP flaps with subsequent revisions, nipple reconstruction, and areola tattooing. Final photos are one year after DIEP surgery.

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.

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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.

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.

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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.

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.

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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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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.

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.

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.

57 year old woman who had bilateral mastectomies for breast cancer. Her definitive reconstruction was bilateral DIEP flaps with subsequent revisions, nipple reconstruction, and areola tattooing. Final photos are one year after DIEP surgery.

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.

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.

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.