![Northwest Breast Center Logo Blue Alt Logo](https://static.wixstatic.com/media/10195c_8d80839715a24beaa2d3a3f46140a9b0~mv2.png/v1/fill/w_215,h_48,al_c,q_85,usm_0.66_1.00_0.01,enc_auto/NorthwestBreastCenterLogo.png)
Photo Gallery: DIEP Breast Reconstruction
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_e54f65e4b3d646c9bfa5d2ad3057f6c9~mv2.jpg/v1/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/77234-1of6-1.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_8bf955d514694ebea514d177d3db21f6~mv2.jpg/v1/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/77234-3of6-1.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_f2e1730da2c64069aa200da3f26991aa~mv2.jpg/v1/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/77234-2of6-1.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_d92234ec7aab40c9be7363c3d3e00609~mv2.jpg/v1/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/77234-4of6-1.jpg)
Case: 2624
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_2c102e6066154eaead3099e84d7386ff~mv2.jpg/v1/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/1.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_49bd8d9ee17a4c1db1efcecf597744fa~mv2.jpg/v1/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/3.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_81189b62a6d3410d993ca0e2af3d3853~mv2.jpg/v1/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/2.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_75d1053af1874153ade2d82c8060ac53~mv2.jpg/v1/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/4.jpg)
Case: 2645
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_174e0f2c8fe74b0eb1a812e2345d48f2~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/77234-1of4.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_2439c25a981846eca21f0c08e46661ea~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/77234-3of4.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_04a58c431b184ef7ba25dc2208ea4131~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/77234-2of4.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_48c095f6b85943bfa92e42512bb5725a~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/77234-4of4.jpg)
Case: 2670
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_75a35d32aa634c5eb2b09def036e2bc3~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/breast-reconstruction-diep-1of6-31023%20(1).jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_28577d57328f47189073cad8b67f22f3~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/breast-reconstruction-diep-3of6-31023%20(1).jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_c5249f54ff604e7a9ddf1e0c15ed69ef~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/breast-reconstruction-diep-2of6-31023%20(1).jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_07e464013d6c42b29ae43a48517d1e67~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/breast-reconstruction-diep-4of6-31023%20(1).jpg)
Case: 4985
This 57-year-old chose right and left nipple taking mastectomies as her cancer treatment. She had delayed-immediate reconstruction with DIEP flaps, and two subsequent planned revision surgeries (for revision and nipple reconstruction, respectively).
She is one year from DIEPS, eight months from revision 1, and 5 months from nipple creation in the photos.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_ee907263c0f94754bc09873aef3bce92~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/372025-1of6.jpeg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_a7ab43638ecb44fd93fe9f1da21a53a1~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/372025-3of6.jpeg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_09823172ada04111986511a7744694aa~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/372025-2of6.jpeg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_c36d6d21a90d47dcbdf0f0c890cb9f29~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/372025-4of6%20(1).jpeg)
Case: 4966
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_956ad93fb79e4fe2be9de2fe3fcff606~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/372026-1of6%20(1).jpeg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_bf68923063414e57b057ed35a8ec5731~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/372026-3of6%20(1).jpeg)
After
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_dea0a9e48dae4f3c98024dee4e658d5b~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/372026-2of6.jpeg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_9d4c91c0d5e2437f9c64eee7ea1fdb17~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/372026-4of6.jpeg)
Case: 4973
This 61 year old had a failed tissue expander elsewhere, and came to me with her nipple closed to the inframammary fold, and a severe lack of tissue.
In a single operation, I did a combined DIEP/SIEA flap (two flaps for one breast) to reconstruct the left breast volume while simultaneously providing skin in the lower pole to improve her breast shape. She had one operation with no revisions, and is four months from surgery.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_44dc7972aee04707b832687ca86a9f46~mv2.jpg/v1/fill/w_127,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1-DIEP-Breast-Reconstruction-Before-photo-by-Dr_-Pannucci-in-Spokane-WA-scaled.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_1e305e027fba42589b81354439a69137~mv2.jpg/v1/fill/w_127,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/3-DIEP-Breast-Reconstruction-Before-photo-by-Dr_-Pannucci-in-Spokane-WA-scaled.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_90012929b6ed4262a1628f579cd200e8~mv2.jpg/v1/fill/w_127,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/2-DIEP-Breast-Reconstruction-Before-photo-by-Dr_-Pannucci-in-Spokane-WA-scaled.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_8c55f47945de4917aa67481aa39833da~mv2.jpg/v1/fill/w_127,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/4-DIEP-Breast-Reconstruction-Before-photo-by-Dr_-Pannucci-in-Spokane-WA-scaled.jpg)
Case: 4808
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_e2fb28afb24745be9e50e5a450c96445~mv2.jpg/v1/fill/w_172,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/jb26455-1of6.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_37b0713217ba49289634e42b0d7f3761~mv2.jpg/v1/fill/w_172,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/jb26455-3of6.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_33c5e340847641e7bda94a2d22604a85~mv2.jpg/v1/fill/w_172,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/jb26455-2of6.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_3a9f4099d0f94db4b72a5bdc7ee63633~mv2.jpg/v1/fill/w_172,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/jb26455-4of6.jpg)
Case: 22768475
Surgeon: 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
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_b19cbe2ed15145cdb9ef559dfe6651d6~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1192023-1of6.jpeg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_e189b8c014a04b7797230fa3ddd72de4~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1192023-3of6.jpeg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_b4327c3874ff4a41b20eaaa8146e6584~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1192023-2of6.jpeg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_fb8f75e8c8b04866a86880e870744d5b~mv2.jpeg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1192023-4of6.jpeg)
Case: 4713
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_1e328b0e456d49dab516388aeca0d994~mv2.jpg/v1/fill/w_127,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/36547-1of6.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_e68c52d334b54690a135ef47fca4aa8e~mv2.jpg/v1/fill/w_127,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/36547-3of6.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_eaf1798b9dfc49acb5afab5079e576eb~mv2.jpg/v1/fill/w_127,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/36547-2of6.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_e90e296095d043339bf6b33540b94135~mv2.jpg/v1/fill/w_127,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/36547-4of6.jpg)
Case: 3921
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_df6bd047f20342f4977eef146ed31138~mv2.jpg/v1/fill/w_176,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/22766700-1of10.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_256a5d8ddfb1497cbc0c2b0b3e7f0352~mv2.jpg/v1/fill/w_176,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/22766700-3of10.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_9d2c95c3c7694d08b33caa91cb4bcf74~mv2.jpg/v1/fill/w_176,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/22766700-2of10.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_7458accaa6494d92908b8b0534b1c5ab~mv2.jpg/v1/fill/w_176,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/22766700-4of10.jpg)
Case: 22766700
Surgeon: Janelle Sousa, MD
Surgery: Bilateral breast reconstruction using free abdominal tissue DIEP flaps following bilateral nipple sparing mastectomy.
​
Diagnosis: Personal history of breast cancer
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_9319081468b14da8b0ed3edbaf053d8d~mv2.jpg/v1/crop/x_0,y_47,w_400,h_426/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/77234-1of6.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_0ef297d9fc194528bec372d5b3f0d799~mv2.jpg/v1/crop/x_0,y_51,w_400,h_426/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/77234-3of6.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_e8651221608949d69174b36cb741d044~mv2.jpg/v1/crop/x_0,y_60,w_400,h_426/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/77234-2of6.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_41631d1d1b7b4146a0cac0eb52d36867~mv2.jpg/v1/crop/x_0,y_31,w_400,h_426/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/77234-4of6.jpg)
Case: 2592
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_4484197c3ae04c6f8574b64a6b53dd85~mv2.jpg/v1/fill/w_179,h_176,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/156571-1of6.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_8ee759032bd24f01971e52e062a7e50e~mv2.jpg/v1/fill/w_179,h_182,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/156571-3of6.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_3165c978f9d24f07876218e66a34ce8b~mv2.jpg/v1/fill/w_179,h_182,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/156571-2of6.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_e26abb53a9ae4342bcbac4b1346233e6~mv2.jpg/v1/fill/w_179,h_182,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/156571-6of6-1.jpg)
Case: 1660
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_9142c3ff5bd04e0891dc6a3c1ab57e88~mv2.jpg/v1/crop/x_0,y_87,w_400,h_427/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/12289-2of4.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_174950e1c24e42448db2bd76ccb7a914~mv2.jpg/v1/crop/x_0,y_87,w_400,h_427/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/12289-3of4.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_408fc3a15da44009ae1a09a6c4ea4884~mv2.jpg/v1/crop/x_0,y_87,w_400,h_427/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/12289-1of4.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_cffac302dc184c4d8c3df5610f0872a2~mv2.jpg/v1/crop/x_0,y_87,w_400,h_427/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/12289-4of4.jpg)
Case: 3444
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_acb847046a184868ba893111e8b25c28~mv2.jpeg/v1/fill/w_163,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1252022-1of6.jpeg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_c63eab02e415475b9499cf797eeb8d6d~mv2.jpeg/v1/fill/w_163,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1252022-3of6.jpeg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_17423579faf84bbbb6de456bafa680bf~mv2.jpeg/v1/fill/w_163,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1252022-2of6.jpeg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_ee9bb057643947a881f5e737bc1aee94~mv2.jpeg/v1/fill/w_163,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/1252022-4of6.jpeg)
Case: 2055
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
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_4cdadd10731d41dbb228dca679756fb5~mv2.jpg/v1/crop/x_0,y_109,w_938,h_1001/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/0105-1of6.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_78217746e81247e2860a4ad708d0f639~mv2.jpg/v1/crop/x_0,y_109,w_938,h_1001/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/0105-3of6.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_6257fe6cc44343cc9c0bd0bcf13b095e~mv2.jpg/v1/crop/x_0,y_109,w_938,h_1001/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/0105-2of6.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_ded57f83161042f5a460463454a9cf38~mv2.jpg/v1/crop/x_0,y_109,w_938,h_1001/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/0105-4of6.jpg)
Case: 468
Surgeon: 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
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_9bc4521c5a0f41d595083d93dc638372~mv2.jpg/v1/fill/w_176,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/90023-1of6.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_6b6f59814cd34753970bd8c208807b54~mv2.jpg/v1/fill/w_176,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/90023-3of6.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_78f00536a15d414aa85cb64c9c0e895e~mv2.jpg/v1/fill/w_176,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/90023-2of6.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_c501f1646d484705901bda0ba5b20977~mv2.jpg/v1/fill/w_176,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/90023-4of6.jpg)
Case: 1684
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.
Before
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_80f0344b85914da4a6e17813f00c888d~mv2.jpg/v1/crop/x_0,y_26,w_400,h_427/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/27347-1of6.jpg)
![DIEP Breast Reconstruction Before](https://static.wixstatic.com/media/10195c_08684394b5074bf1b726a963e7c35b27~mv2.jpg/v1/crop/x_0,y_26,w_400,h_427/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/27347-5of6.jpg)
After
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_2c48e5155b3940e782694c0bebc50057~mv2.jpg/v1/crop/x_0,y_26,w_400,h_427/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/27347-2of6.jpg)
![DIEP Breast Reconstruction After](https://static.wixstatic.com/media/10195c_0304a0fc29f343b9827f5509014faf63~mv2.jpg/v1/crop/x_0,y_26,w_400,h_427/fill/w_179,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/27347-6of6.jpg)
Case: 1216
DIEP flap breast reconstruction can achieve natural appearing results as experienced by this breast cancer survivor. This patient underwent two operations to achieve her breast reconstruction goals. The first surgery included her nipple sparing mastectomy and DIEP surgery. The second operation focused on symmetry and contour.
Before
![0011-before.jpg](https://static.wixstatic.com/media/10195c_781197ea55094946aa9ac1c8fe78c309~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/0011-before.jpg)
![0011-before-45.jpg](https://static.wixstatic.com/media/10195c_dccf277d266a4cfabb31ef6b783b25ff~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/0011-before-45.jpg)
After
![0011-after.jpg](https://static.wixstatic.com/media/10195c_b9f47e3c42284e2e873f94111b89c90d~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/0011-after.jpg)
![0011-after-45.jpg](https://static.wixstatic.com/media/10195c_037cfcfaf57c42339e8874141114d302~mv2.jpg/v1/fill/w_143,h_191,al_c,q_80,usm_0.66_1.00_0.01,blur_3,enc_auto/0011-after-45.jpg)
Case: 0011
DIEP Reconstruction and Nipple Tattoo.
![Image by Greg Rosenke](https://static.wixstatic.com/media/nsplsh_3765324c6f505f5f647555~mv2.jpg/v1/fill/w_100,h_125,al_c,q_80,usm_0.66_1.00_0.01,blur_2,enc_auto/nsplsh_3765324c6f505f5f647555~mv2.jpg)