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Photo Gallery: DIEP Breast Reconstruction

Before

DIEP Breast Reconstruction Before
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction Before
DIEP Breast Reconstruction Before

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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
DIEP Breast Reconstruction Before

After

DIEP Breast Reconstruction After
DIEP Breast Reconstruction After

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

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After

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Case: 0011

DIEP Reconstruction and Nipple Tattoo.

Image by Greg Rosenke
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