Neil J. Zemmel, MD, FACS * †
Kasandra R. Dassoulas, MD
Megan J. Goff, PA-C
Rachel M. Duke, NP, CANS
Caitlin M. Roop, LME
Short Pump Office
11934 W Broad Street, Suite 200
Richmond, VA 23233
804-464-3801

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Breast Reconstruction

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Direct to Implant Single Stage Reconstruction

Patient 1

BeforeAfter
28 year old with breast cancer. This patient underwent bilateral total skin and nipple areola sparing mastectomies with immediate single stage implant based reconstruction. 300cc smooth round moderate profile silicone implants were placed beneath the pectoralis muscle using an Alloderm (acelluar dermal matrix) sling. This patient is shown 4 months...

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Patient 2

BeforeAfter
40 year old with breast cancer. This patient underwent bilateral total skin and nipple areola sparing mastectomies with immediate single stage implant based reconstruction. 300cc smooth round moderate profile silicone implants were placed beneath the pectoralis muscle using an Alloderm (acelluar dermal matrix) sling. This patient is shown 4 months...

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Patient 3

BeforeAfter
48 year old with breast cancer who underwent bilateral total skin sparing and nipple areolar sparing mastectomy. Surgery was performed through an extended periareolar incision. Immediate reconstruction was performed with smooth round moderate profile silicone implants. The implants were placed beneath the pectoralis major muscle and an Alloderm (aceullar dermal...

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Patient 4

BeforeAfter
41 year old female with right breast cancer who underwent bilateral mastectomy. A right skin sparing mastectomy and a left skin and nipple areolar sparing mastectomy was performed. Immediate reconstruction was performed using smooth round moderate plus profile silicone implants. The implants were placed underneath the pectoralis muscle and an...

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Patient 5

BeforeAfter
45 year old woman who had previous cosmetic breast augmentation. She developed breast cancer requiring bilateral total skin sparing mastectomies. The nipple and areola were preserved on both sides. Immediate reconstruction with a single stage direct to implant reconstruction using acellular dermal matrix (Alloderm) was performed. She is shown 3...

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Patient 6

BeforeAfter
52 year old female with breast cancer who underwent bilateral total skin and nipple areolar sparing mastectomies with immediate single stage direct to implant reconstruction. The mastectomy and reconstruction were performed through an extended periareolar incision. Smooth round moderate plus profile silicone implants were placed beneath the pectoralis major muscle....

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Patient 7

BeforeAfter
This is a 34 year old woman with a strong family history of breast cancer who is a carrier of the BRCA gene. She elected to undergo bilateral prophylactic nipple-sparing total mastectomies for cancer risk reduction. A single stage reconstruction with a direct to implant procedure was planned. Due to...

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Patient 8

BeforeAfter
51 year old with breast cancer. She received chemotherapy before bilateral total skin and nipple sparing mastectomies. Immediate single stage direct to implant reconstruction was performed with cohesive gel silicone implants and acelullar dermal matrix (Alloderm). An extended periareolar incision was used for her reconstruction. The patient has good upper...

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Patient 9

BeforeAfter
40 year old with a strong family history of breast cancer. She underwent bilateral prophylactic (preventative) skin and nipple sparing mastectomies and immediate, single stage reconstruction using cohesive gel silicone implants and aceullar dermal matrix. She desired to be significantly larger with an augmented look, and she requested an extended...

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Patient 10

BeforeAfter
51 year old with breast cancer. She received chemotherapy before bilateral total skin and nipple sparing mastectomies. Immediate single stage direct to implant reconstruction was performed with cohesive gel silicone implants and aceullar dermal matrix. An extended periareolar incision was used for her both mastectomy and reconstruction. She has slightly...

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Patient 11

BeforeAfter
49 year old with breast cancer. She received bilateral total skin and nipple sparing mastectomies. Immediate single stage direct to implant reconstruction was performed with cohesive gel silicone implants and aceullar dermal matrix (Alloderm). An extended periareolar incision was used for her both mastectomy and reconstruction. She has slightly increased...

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Patient 12

BeforeAfter
53 year old with breast cancer. This patient underwent bilateral total skin and nipple areola sparing mastectomies with immediate single stage implant based reconstruction. 325cc smooth round moderate profile silicone implants were placed beneath the pectoralis muscle using an Alloderm (acelluar dermal matrix) sling. This patient is shown 5 months...

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Patient 13

BeforeAfter
50-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. She underwent a single stage direct to implant reconstruction with a smooth round silicone implant and Alloderm. She also underwent subsequent minor revision with fat transfer. A single extended periareolar incision was used....

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Patient 14

BeforeAfter
53 year old underwent bilateral total skin and nipple sparing mastectomy for breast cancer. She underwent previous breast augmentation in the remote past. Because of her implants, a single stage reconstruction was performed. Direct to implant single stage reconstruction was accomplished with silicone implant and Alloderm. An extended periareolar incision...

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Breast Reconstruction Using TRAM (Transverse Rectus Abdominus Myocutaneous) Flap

Patient 1

BeforeAfter
48 year old who underwent previous left breast lumpectomy and radiation with second recurrence that required a total mastectomy. A left total skin-sparing mastectomy with immediate TRAM (transverse rectus abdominus myocutaneous) flap was performed. Left nipple reconstruction was performed at a second stage using a modified star flap. The left...

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Patient 2

BeforeAfter
54-year-old woman who developed breast cancer required bilateral total mastectomies. Reconstruction was performed with bilateral pedicled TRAM flaps. A breast reduction skin excision (Wise pattern) was used to reduce the amount of breast skin to reduce the overall size of the breast. Nipple areola reconstruction was performed with modified star...

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Patient 3

BeforeAfter
62 year old who underwent right breast lumpectomy which then required right total mastectomy to completely treat the cancer. The patient also decided to undergo left prophylactic mastectomy. Bilateral total skin sparing mastectomies were performed. Immediate reconstruction was performed with bilateral pedicled TRAM flaps. Nipple reconstruction was performed at a...

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Patient 4

BeforeAfter
This is a 62 year old woman with a history of right infiltrating ductal carcinoma who underwent a previous right total mastectomy. She underwent a delayed breast reconstruction with a unilateral pedicled TRAM flap. She is shown 3 months after surgery. Preoperative: Preop photos illustrating a well healed right total...

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Patient 5

BeforeAfter
52-year-old woman with left sided breast cancer. She was treated with a left total skin sparing mastectomy. Immediate reconstruction was performed with a left sided pedicled TRAM (transverse rectus abdominus myocutaneous) flap. She is shown 4 months after TRAM flap surgery. Note the excellent symmetry match and contour improvement of...

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Patient 6

BeforeAfter
55-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A wise pattern skin excision (breast reduction incision pattern) was performed to reduce the amount of excess skin. Immediate first stage reconstruction using tissue expanders and acellular dermal matrix (Alloderm) was performed. The...

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Prophylactic Mastectomy Reconstruction

Patient 1

BeforeAfter
39 year old with a strong family history for breast cancer. She underwent bilateral prophylactic mastectomy using a breast reduction incision pattern. Immediate reconstruction using tissue expanders and acellular dermal matrix was performed. Permanent silicone implants were placed at a second stage. The patient is shown 4 months after second...

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Patient 2

BeforeAfter
37 year old who is genetically positive for breast cancer (BRCA1). She underwent bilateral prophylactic mastectomies in order to significantly reduce her chance of developing breast cancer in the future. Immediate reconstruction was performed using tissue expander and aceullar dermal matrix. Permanent implants were placed at a second stage. This...

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Patient 3

BeforeAfter
30 year woman with a strong family history of breast cancer underwent prophylactic bilateral total skin and nipple areolar sparing mastectomies. She had pervious cosmetic breast augmentation with saline implants approximately 5 years before mastectomy. She wished to achieve an “augmented” look with her reconstruction. Immediate reconstruction was performed with...

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Patient 4

BeforeAfter
This is a 33 year old woman who presented as a carrier of the BRCA gene and a strong family history of breast cancer. She elected to undergo bilateral prophylactic mastectomies with immediate placement of tissue expanders with acellular dermal implants. Following tissue expansion, she underwent exchange of the expanders...

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Patient 5

BeforeAfter
51 year old with a strong family of breast cancer. She underwent bilateral prophylactic total skin and nipple areolar sparing mastectomies (preventative removal) and immediate reconstruction with tissue expanders and aceullar dermal matrix. She then underwent tissue expander implant exchange and autologous tissue fat grafting (fat transfer) to both breasts....

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Patient 6

BeforeAfter
40 year old with a strong family history of breast cancer. She underwent bilateral prophylactic (preventative) skin and nipple sparing mastectomies and immediate, single stage reconstruction using cohesive gel silicone implants and aceullar dermal matrix. She desired to be significantly larger with an augmented look, and she requested an extended...

Read More »

Patient 7

BeforeAfter
32-year-old female with a strong family history of breast cancer underwent bilateral prophylactic skin and nipple-areola sparing mastectomy with immediate reconstruction. First stage reconstruction was performed with tissue expanders and acellular dermal matrix (Alloderm). A single extended periareolar incision was used. The second stage consisted of placement of a permanent...

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Breast Reconstruction Using Tissue Expanders, Aceullular Dermal Matrix, and Permanent Implants

Patient 1

BeforeAfter
53 year old who underwent previous cosmetic breast augmentation developed breast cancer necessitating bilateral skin sparing mastectomy. Immediate tissue expander reconstruction using aceullar dermal matrix and subsequent permanent silicone implant placement was performed. She also underwent nipple reconstruction using modified star flaps and final areolar tattooing. She is shown 5...

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Patient 2

BeforeAfter
58-year-old woman who developed right breast cancer underwent right total skin sparing mastectomy. Immediate reconstruction using a tissue expander and acellular dermal matrix (Alloderm) was performed. A permanent silicone implant was placed at a second stage. Breast augmentation with a periareolar mastopexy was performed at the same time to improve...

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Patient 3

BeforeAfter
39 year old with a strong family history for breast cancer. She underwent bilateral prophylactic mastectomy using a breast reduction incision pattern. Immediate reconstruction using tissue expanders and acellular dermal matrix was performed. Permanent silicone implants were placed at a second stage. The patient is shown 4 months after second...

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Patient 4

BeforeAfter
37 year old who is genetically positive for breast cancer (BRCA1). She underwent bilateral prophylactic mastectomies in order to significantly reduce her chance of developing breast cancer in the future. Immediate reconstruction was performed using tissue expander and aceullar dermal matrix. Permanent implants were placed at a second stage. This...

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Patient 5

BeforeAfter
30 year woman with a strong family history of breast cancer underwent prophylactic bilateral total skin and nipple areolar sparing mastectomies. She had pervious cosmetic breast augmentation with saline implants approximately 5 years before mastectomy. She wished to achieve an “augmented” look with her reconstruction. Immediate reconstruction was performed with...

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Patient 6

BeforeAfter
62 year old underwent bilateral total skin sparing mastectomy with immediate reconstruction for breast cancer. Reconstruction was performed using tissue expanders and aceullar dermal matrix (Alloderm) followed by second stage implant placement. She is shown 4 months after permanent implant placement.

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Patient 7

BeforeAfter
52 year old underwent bilateral total skin sparing mastectomy with immediate reconstruction for breast cancer. Reconstruction was performed with tissue expanders and acellular dermal matrix and subsequent permanent silicone implant placement. Nipple reconstruction with modified star flaps and final nipple areolar tattooing was also done. Patient is shown 4 months...

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Patient 8

BeforeAfter
62 year old underwent left total skin sparing mastectomy with immediate reconstruction tissue expanders and acellular dermal matrix. Second stage reconstruction was performed replacing the tissue expander with a permanent silicone implant. No symmetry matching procedure on the right breast was necessary.

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Patient 9

BeforeAfter
66 year old with left breast cancer requiring left total skin sparing mastectomy. Immediate reconstruction was performed with a tissue expander and aceullar dermal matrix. A permanent silicone implant was placed at a second stage. The patient is shown 3 months after surgery.

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Patient 10

BeforeAfter
46 year old who underwent previous breast augmentation. She now developed breast cancer requiring bilateral total skin and nipple areolar sparing mastectomies. Immediate reconstruction using tissue expanders and acellular dermal matrix (Alloderm) was performed. Permanent implants were placed at a second stage. She is shown 6 months after her final...

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Patient 11

BeforeAfter
67 year old with breast cancer requiring bilateral total skin sparing mastectomy. Immediate reconstruction was performed with tissue expanders and aceullar dermal matrix (Alloderm). Permanent silicone implants were placed at a second stage. The patient is shown 4 months after surgery.

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Patient 12

BeforeAfter
51 year old with breast cancer requiring bilateral total skin sparing mastectomies. Immediate reconstruction using tissues expanders and acellular dermal matrix was performed. The patient is shown before surgery, after tissues expansion, and after permanent implant placement and nipple areola reconstruction.

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Patient 13

BeforeAfter
47-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. Immediate reconstruction using tissue expanders, aceullar dermal matrix and subsequent permanent implant placement was performed. This woman is shown 4 months after second stage reconstruction.

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Patient 14

BeforeAfter
50-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown. Immediate reconstruction using tissue expanders, aceullar dermal matrix (Alloderm) and subsequent permanent implant placement was performed. This woman is shown 4 months after second stage reconstruction.

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Patient 15

BeforeAfter
56-year-old woman who developed right breast cancer is shown. She underwent right total skin sparing mastectomy with immediate tissue expander reconstruction using acellular dermal matrix. A permanent silicone implant was placed at a second stage, and she declined nipple areola reconstruction. She is shown 5 months after second stage breast...

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Patient 16

BeforeAfter
47-year-old women with breast cancer underwent bilateral total skin sparing mastectomies. Immediate reconstruction was performed with tissue expanders and acellular dermal matrix (Alloderm). Second stage reconstruction was performed using permanent silicone implants. The patient is shown 4 months after second stage breast reconstruction.

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Patient 17

BeforeAfter
44-year-old woman who underwent left total skin sparing mastectomy for breast cancer. Immediate reconstruction was performed with a tissue expander and acellular dermal matrix (Alloderm). Second stage reconstruction was performed with a permanent silicone implant. This patient is shown 5 months after second stage reconstruction.

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Patient 18

BeforeAfter
47-year-old woman developed breast cancer requiring bilateral total skin sparing mastectomies and reconstruction. Immediate reconstruction was performed with tissue expanders and aceullar dermal matrix (Alloderm). Second stage reconstruction was performed with implant exchange and autologous fat grafting. She is shown 3 months after second stage reconstruction.

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Patient 19

BeforeAfter
46-year-old woman developed breast cancer and underwent bilateral total skin sparing mastectomies with reconstruction. Immediate reconstruction using tissue expanders and acellular dermal matrix was performed. Second stage reconstruction using permanent silicone implants were placed approximately 3 months after the first stage. She is shown 3 months after second stage reconstruction.

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Patient 20

BeforeAfter
46-year-old woman underwent bilateral total skin sparing mastectomy for breast cancer. Immediate reconstruction was performed with tissue expanders and acellular dermal matrix (Alloderm). Second stage reconstruction was performed with a permanent silicone implant. This patient is shown 5 months after second stage reconstruction.

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Patient 21

BeforeAfter
34 year with carcinoma of the breast requiring bilateral total mastectomies. Due to the large size of the patients breast, the nipple and areola could not be preserved. A breast reduction incision pattern (Wise Pattern) was used to provide access for the mastectomy and reduce the overall amount of skin....

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Patient 22

BeforeAfter
59 year with carcinoma of the breast requiring bilateral total mastectomies. Due to the large size of the patients breast, the nipple and areola could not be saved. A breast reduction incision pattern (Wise Pattern) was used to provide access for the mastectomy and reduce the overall amount of skin....

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Patient 23

BeforeAfter
51 year old with a strong family of breast cancer. She underwent bilateral prophylactic total skin and nipple areolar sparing mastectomies (preventative removal) and immediate reconstruction with tissue expanders and aceullar dermal matrix. She then underwent tissue expander implant exchange and autologous tissue fat grafting (fat transfer) to both breasts....

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Patient 24

BeforeAfter
Patient is a 50 year old woman who was diagnosed with an invasive cancer of the left breast. She underwent a left total mastectomy with sentinel lymph node biopsy and an immediate tissue expander reconstruction. After successful expansion, she underwent exchange to a permanent anatomic silicone breast implant.  She now...

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Patient 25

BeforeAfter
The patient is a 58 year old woman who presented with invasive right breast cancer. She elected for bilateral total mastectomies to address her cancer and to prevent future cancer. She underwent immediate bilateral breast reconstructions with tissue expanders. Approximately four months later, she underwent exchange of her tissue expanders...

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Patient 26

BeforeAfter
43-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A single inframammary incision hidden within the crease of the breast was used. Immediate reconstruction using tissue expanders, acellular dermal matrix (Alloderm) was performed during the first stage. The second stage consisted of...

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Patient 27

BeforeAfter
32-year-old female with a strong family history of breast cancer underwent bilateral prophylactic skin and nipple-areola sparing mastectomy with immediate reconstruction. First stage reconstruction was performed with tissue expanders and acellular dermal matrix (Alloderm). A single extended periareolar incision was used. The second stage consisted of placement of a permanent...

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Patient 28

BeforeAfter
58-year-old female with breast cancer underwent bilateral prophylactic skin sparing mastectomy with immediate reconstruction. First stage reconstruction was performed with tissue expanders and acellular dermal matrix (Alloderm). A single horizontal mastectomy incision was used. She was fully expander during and after chemotherapy. The second stage consisted of placement of a...

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Patient 29

BeforeAfter
55-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A wise pattern skin excision (breast reduction incision pattern) was performed to reduce the amount of excess skin. Immediate first stage reconstruction using tissue expanders and acellular dermal matrix (Alloderm) was performed. The...

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Patient 30

BeforeAfter
49-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A single periareolar incision was used. Immediate reconstruction using tissue expanders, acellular dermal matrix (Alloderm) was performed during the first stage. The second stage consisted of placement of a permanent silicone implant with...

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Patient 31

BeforeAfter
55-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A wise pattern skin excision (breast reduction incision pattern) was performed to reduce the amount of excess skin. Immediate first stage reconstruction using tissue expanders and acellular dermal matrix (Alloderm) was performed. The...

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Patient 32

BeforeAfter
52-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A right extended periareolar incision was made and her previous lumpectomy incision was used on the left. Immediate first stage reconstruction using tissue expanders and acellular dermal matrix (Alloderm) was performed. The second...

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Patient 33

BeforeAfter
50 year old who underwent left total mastectomy and tissue expander reconstruction for breast cancer. She was displeased with her left breast shape and the symmetry between her breasts. Revision was performed in stages. A new tissue expander was placed on the left side and additional expansion was performed. At...

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Patient 34

BeforeAfter
64 year old female who underwent previous bilateral total mastectomy and implant based reconstruction elsewhere. She presented with severe contour deformity and asymmetry of the breasts. Revision was performed with several techniques. Pocket revision was performed with total capsulectomy and lateral and inferior capsulorraphy. This improved the contour and roundness...

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Patient 35

BeforeAfter
50 year old underwent bilateral total skin and nipple sparing mastectomies with immediate tissue expander reconstruction. A single inframammary incision was used. Second stage reconstruction was performed 4 months after her original surgery and consisted of tissue expander implant exchange and fat transfer. She is shown 4 months after second...

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Wise Pattern (Breast Reduction) Mastectomy and Reconstruction

Patient 1

BeforeAfter
39 year old with a strong family history for breast cancer. She underwent bilateral prophylactic mastectomy using a breast reduction incision pattern. Immediate reconstruction using tissue expanders and acellular dermal matrix was performed. Permanent silicone implants were placed at a second stage. The patient is shown 4 months after second...

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Patient 2

BeforeAfter
54-year-old woman who developed breast cancer required bilateral total mastectomies. Reconstruction was performed with bilateral pedicled TRAM flaps. A breast reduction skin excision (Wise pattern) was used to reduce the amount of breast skin to reduce the overall size of the breast. Nipple areola reconstruction was performed with modified star...

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Patient 3

BeforeAfter
37 year old who is genetically positive for breast cancer (BRCA1). She underwent bilateral prophylactic mastectomies in order to significantly reduce her chance of developing breast cancer in the future. Immediate reconstruction was performed using tissue expander and aceullar dermal matrix. Permanent implants were placed at a second stage. This...

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Patient 4

BeforeAfter
This is a 33 year old woman who presented as a carrier of the BRCA gene and a strong family history of breast cancer. She elected to undergo bilateral prophylactic mastectomies with immediate placement of tissue expanders with acellular dermal implants. Following tissue expansion, she underwent exchange of the expanders...

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Patient 5

BeforeAfter
52-year-old woman underwent bilateral total skin sparing mastectomy for breast cancer. The mastectomies were performed via a “Wise pattern” skin excision similar to a breast reduction. Immediate reconstruction was performed with tissue expanders and acellular dermal matrix (Alloderm). Second stage reconstruction was performed with placement of a permanent silicone implant....

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Patient 6

BeforeAfter
34 year with carcinoma of the breast requiring bilateral total mastectomies. Due to the large size of the patients breast, the nipple and areola could not be preserved. A breast reduction incision pattern (Wise Pattern) was used to provide access for the mastectomy and reduce the overall amount of skin....

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Patient 7

BeforeAfter
55-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A wise pattern skin excision (breast reduction incision pattern) was performed to reduce the amount of excess skin. Immediate first stage reconstruction using tissue expanders and acellular dermal matrix (Alloderm) was performed. The...

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Patient 8

BeforeAfter
55-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A wise pattern skin excision (breast reduction incision pattern) was performed to reduce the amount of excess skin. Immediate first stage reconstruction using tissue expanders and acellular dermal matrix (Alloderm) was performed. The...

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Patient 9

BeforeAfter
55-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A wise pattern skin excision (breast reduction incision pattern) was performed to reduce the amount of excess skin. Immediate first stage reconstruction using tissue expanders and acellular dermal matrix (Alloderm) was performed. The...

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Nipple Reconstruction with Areolar Tattooing

Patient 1

BeforeAfter
48 year old who underwent previous left breast lumpectomy and radiation with second recurrence that required a total mastectomy. A left total skin-sparing mastectomy with immediate TRAM (transverse rectus abdominus myocutaneous) flap was performed. Left nipple reconstruction was performed at a second stage using a modified star flap. The left...

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Patient 2

BeforeAfter
53 year old who underwent previous cosmetic breast augmentation developed breast cancer necessitating bilateral skin sparing mastectomy. Immediate tissue expander reconstruction using aceullar dermal matrix and subsequent permanent silicone implant placement was performed. She also underwent nipple reconstruction using modified star flaps and final areolar tattooing. She is shown 5...

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Patient 3

BeforeAfter
54-year-old woman who developed breast cancer required bilateral total mastectomies. Reconstruction was performed with bilateral pedicled TRAM flaps. A breast reduction skin excision (Wise pattern) was used to reduce the amount of breast skin to reduce the overall size of the breast. Nipple areola reconstruction was performed with modified star...

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Patient 4

BeforeAfter
62 year old who underwent right breast lumpectomy which then required right total mastectomy to completely treat the cancer. The patient also decided to undergo left prophylactic mastectomy. Bilateral total skin sparing mastectomies were performed. Immediate reconstruction was performed with bilateral pedicled TRAM flaps. Nipple reconstruction was performed at a...

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Patient 5

BeforeAfter
41 year old who underwent bilateral total skin sparing mastectomy with immediate tissue expander reconstruction and subsequent permanent implant placement for breast cancer. Nipple reconstruction was performed at a third stage using modified star flaps. Nipple areolar tattooing was completed in the office. This patient is shown 3 months after...

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Patient 6

BeforeAfter
58-year-old woman who developed right breast cancer underwent right total skin sparing mastectomy. Immediate reconstruction using a tissue expander and acellular dermal matrix (Alloderm) was performed. A permanent silicone implant was placed at a second stage. Breast augmentation with a periareolar mastopexy was performed at the same time to improve...

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Patient 7

BeforeAfter
This is a 54 year old woman with a history of infiltrating ductal carcinoma of the left breast who elected to undergo breast conservation therapy with a lumpectomy involving the nipple and subsequent postoperative chemotherapy and radiation. The lumpectomy defect was reconstructed using a right latissimus dorsi skin-muscle flap. The...

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Latissimus Flap with Tissue Expander Reconstruction

Patient 1

BeforeAfter
46-year-old female who underwent bilateral total skin and nipple areola mastectomy for severe chronic breast pain. She received immediate reconstruction with tissue expanders and acellular dermal matrix (Alloderm) and subsequent silicone implants were placed. She also received a cosmetic abdominoplasty during her reconstructive breast surgery. These surgeries were performed elsewhere...

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Lumpectomy Defect Reconstruction

Patient 1

BeforeAfter
40 year old with right breast cancer. This patient underwent right breast lumpectomy, which resulted in a thickened depressed scar around the inner border of the areola. Reconstruction was performed to improve symmetry between the right and left breasts and to improve the contour of the scar. 275 cc smooth...

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Patient 2

BeforeAfter
48 year underwent left breast lumpectomy and radiation for breast cancer. This resulted in a severe scaring and tightness of the lower portion of the breast. Reconstruction was performed using a thoracodorsal artery perforator flap (TDAP) to provide addition soft tissue volume to the lower pole. Breast augmentation was performed...

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Patient 3

BeforeAfter
This is a 28-year-old woman with 44DD cup breasts who presented with an infiltrating ductal carcinoma of the left breast. She elected to undergo breast conservation therapy with postoperative chemotherapy and radiation. Due to the large shape of her breasts, and her desire to obtain smaller breasts, the lumpectomy was...

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Patient 4

BeforeAfter
This is a 54 year old woman with a history of infiltrating ductal carcinoma of the left breast who elected to undergo breast conservation therapy with a lumpectomy involving the nipple and subsequent postoperative chemotherapy and radiation. The lumpectomy defect was reconstructed using a right latissimus dorsi skin-muscle flap. The...

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Patient 5

BeforeAfter
48 year old who underwent right upper quadrant lumpectomy for breast cancer followed by radiation. She presented displeased with the contour of the right breast. Reconstruction of the right breast was performed with silicone implant placement, scar revision, and fat transfer to defect in the breast. The left breast was...

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Breast Reconstruction Revision

Patient 1

BeforeAfter
46-year-old female who underwent bilateral total skin and nipple areola mastectomy for severe chronic breast pain. She received immediate reconstruction with tissue expanders and acellular dermal matrix (Alloderm) and subsequent silicone implants were placed. She also received a cosmetic abdominoplasty during her reconstructive breast surgery. These surgeries were performed elsewhere...

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Patient 2

BeforeAfter
39 year who under bilateral total mastectomy with immediate tissue expander reconstruction elsewhere. She presented for revision of her breasts and completion of her reconstruction. Her tissue expanders were exchange for cohesive silicone gel permanent breast implants. Extensive pocket work was performed to reshape the breasts to a more “teardrop”...

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Patient 3

BeforeAfter
Age: 57 years Height: 5’ 1” 
Weight: 120 pounds Preop: 36 full C Postop: 36 full C 
Implant Size: 350 cc moderate plus profile silicone implants Incision/Location: periareolar, submuscular, full mastopexy performed Notes: This patient underwent bilateral total skin and nipple areolar sparing mastecomies is 1990 for severe fibrocystic disease...

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Patient 4

BeforeAfter
32-year-old female presents for revision breast reconstruction. She has a strong family history of breast cancer and underwent bilateral prophylactic skin and nipple-areola mastectomy with immediate reconstruction. Her first surgery was performed by another surgeon elsewhere. The lower horizontal breast incision was selected by her first surgeon and was therefore...

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