Patient 1

56 year old female with immediate bilateral DIEP flap reconstruction.

Patient 2

This is a 39 year-old female with a BRCA gene mutation and elected for bilateral skin sparing mastectomies with immediate DIEP flap breast reconstruction. She also elected at a second stage for bilateral nipple-areola reconstruction.

Patient 3

Bilateral Nipple Sparing DIEP flap breast reconstruction

Patient 4

This is a 61 year old female who is 5 feet 4 inches and weighed 177 pounds at the time of her surgery. She was diagnosed with left breast cancer and elected for bilateral skin sparing mastectomies with delayed- immediate breast reconstruction with placement of tissue expanders and ADM for her first stage of reconstruction. She then elected for bilateral removal of tissues expanders, capsulectomies, placement of DIEP flaps. She then desired larger size breasts and elected for bilateral revision of reconstructed breasts with placement of HCG implants, excision of abdominal scar and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 5

Left DIEP flap with 2D nipple areola reconstruction

Patient 6

54 year old female with immediate left DIEP flap reconstruction, 3D nipple-areola tattoo and right breast lift for symmetry.

Patient 7

49 year old female with immediate bilateral DIEP flap reconstruction with 3D nipple areola tattoo.

Patient 8

This is a 46 year old female who is 5 feet 2 inches and weighed 157 pounds at the time of her surgery. She was initially diagnosed with left breast cancer and elected for a lumpectomy with no radiation therapy. Due to her lifetime risk score a few years later she then elected for a left mastectomy at an outside facility. She then elected for a delayed breast reconstruction with left DIEP flap and phasix mesh to the abdomen and a right breast reduction to optimize symmetry. She then elected for left 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 9

58 year old female with left breast cancer who underwent left nipple sparing mastectomy with left DIEP flap reconstruction.

Patient 10

This is a 40 year old female who had the BRCA-2 gene mutation and elected for bilateral prophylactic mastectomies with DIEP flap breast reconstruction. She later then elected for 3D nipple/areola reconstruction.

Patient 11

47 year old female with immediate bilateral DIEP flap reconstruction, nipple reconstruction, and 2D areola tattoo.

Patient 12

41 year old female with BRCA mutation who elected to undergo prophylactic mastectomy with DIEP flap reconstruction followed by nipple-areola reconstruction.

Patient 13

Patient 14

56 year old female with prior right lumpectomy and radiation who underwent bilateral mastectomy with DIEP flap reconstruction followed by nipple reconstruction and areolar tattooing. .

Patient 15

54 year old female with immediate bilateral DIEP flap reconstruction.

Patient 16

48 year old female with left mastectomy with immediate DIEP flap reconstruction and nipple areola with skin graft and right breast lift for symmetry.

Patient 17

53 year old female with immediate bilateral DIEP flap reconstruction and 3D nipple areola tattoo.

Patient 18

45 year old female with delayed right DIEP flap, nipple reconstruction, and 2D areola tattoo with left breast lift for symmetry.

Patient 19

49 year old female with immediate right DIEP flap for breast reconstruction and nipple-areola tattoo with skin graft and Skate technique.

Patient 20

60 year old female with immediate bilateral DIEP flap reconstruction and 3D nipple areola tattoo.

Patient 21

Age: 45
Procedure: Immediate Bilateral DIEP flap breast reconstruction followed by 3D nipple/areola reconstruction. She also is status post radiation therapy.

Patient 22

This is a 55 year-old female who was diagnosed with left breast cancer and elected for bilateral nipple sparing mastectomies with immediate bilateral DIEP flap breast reconstruction.

Patient 23

Bilateral Nipple Sparing Mastectomy with bilateral DIEP flap breast reconstruction

Patient 24

48 year old female with immediate bilateral DIEP flap reconstruction, nipple reconstruction, and 2D areola tattoo.

Patient 25

This 53 year-old female was diagnosed with left breast cancer and elected for bilateral mastectomies with immediate DIEP flap breast reconstruction. About 3-4 months later she elected for a second stage placement of silicone gel implants with CV nipple flap reconstruction.

Patient 26

This 59 year-old female was diagnosed with right breast cancer and elected for a right nipple sparing mastectomy with immediate right DIEP flap breast reconstruction and left breast reduction to optimize breast symmetry.

Patient 27

This 45 year-old female was diagnosed with left breast cancer and elected for bilateral nipple sparing mastectomies with DIEP flap breast reconstruction.

Patient 28

This 48 year-old female is 5 feet 5 inches and 289 pounds when was diagnosed with right breast cancer and elected for a lumpectomy and radiation therapy. Unfortunately, she had genetic testing and was positive for a gene mutation and elected for bilateral mastectomies with DIEP flap and second stage nipple-areola reconstruction.

Patient 29

This is a 54 year-old female who is 5 feet 4 inches and weighed 194 pounds at the time of her procedure. She was diagnosed with right breast cancer and elected for a right mastectomy followed by a right delayed DIEP flap and a left breast reduction. Following this surgery she elected for a right 3D nipple/areola reconstruction with tatttoos.

Patient 30

This is a 44 year old female who is 5 feet 2 inches and weighed 129 pounds at the time of her surgery. She was diagnosed with left breast cancer and elected for a left nipple sparing mastectomy with immediate breast reconstruction utilizing a tissue expander and ADM. She then elected for removal of her left tissue expander with capsulectomy and left pectoralis major advancement flap with DIEP flap and a right circumareolar mastopexy to optimize symmetry for medical necessity.

Patient 31

This is a 57 year-old female who was diagnosed with invasive ductal carcinoma to her right breast. Subsequently, she elected for neoadjuvant chemotherapy followed by a right mastectomy and radiation therapy. Following her cancer treatments she elected to proceed with our office with a right DIEP flap breast reconstruction and a left breast reduction to optimize breast symmetry.

Patient 32

This is a 55 year old female who is 5 feet 4 inches and weighed 171 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for a left breast total nipple sparing mastectomy with immediate breast reconstruction utilizing a left DIEP flap with phasix mesh to the abdomen.

Patient 33

This is a 60 year old female who is 5 feet 3 inches and weighed 195 pounds at the time of surgery. She was diagnosed with right breast cancer and elected for bilateral nipple sparing mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breast with lipocontouring and mastopexy with umbilical hernia repair.

Patient 34

This is a 44 year old female who is 5 feet 6 inches tall and weighed 253 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for bilateral skin sparing mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 35

This is a 55 year old female who is 5 feet 10 inches and weighed 250 pounds at the time of surgery. In 2012 she was diagnosed with left breast cancer and elected for a skin sparing mastectomy. A few years later she elected for delayed breast reconstruction with placement of left tissue expander with excision of left axillary tissue and right breast reduction to optimize symmetry for medical necessity. She then elected for left removal of tissue expander, capsulotomy with placement of DIEP flap and phasix mesh to the abdomen with right wise pattern mastopexy with autologous fat grafting to optimize symmetry for medical necessity. She then elected for left revision reconstructed breast with autologous fat grafting. Shortly after she elected for a left CV nipple flap with second stage areola tattoo to complete her breast reconstruction.

Patient 36

This is a 53 year old female who is 5 feet 9 inches and weighed 150 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for bilateral nipple sparing mastectomies with immediate breast reconstruction with placement of DIEP flaps and phasix mesh to the abdomen.

Patient 37

This is a 52 year old female who is 5 feet 3 inches and weighed 196 pounds at the time of her surgery. She was diagnosed with left breast cancer and elected for a left skin sparing mastectomy with immediate breast reconstruction with placement of DIEP flap and phasix mesh to the abdomen with a right breast mastopexy to optimize symmetry. She then elected for left 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 38

This is a 38 year old female who is 5 feet 7 inches and weighed 213 pounds at the time of her surgery. She elected for genetic testing which revealed positive for BRCA 1 gene mutation and elected for bilateral skin sparing mastectomies with immediate breast reconstruction with with placement of DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 39

This is a 45 year old female who is 5 feet 4 inches tall and weighed 153 pounds at the time of her surgery. Due to family history of breast cancer she elected for genetic testing which revealed positive for BRCA 1 and BRCA 2 gene mutation and elected for bilateral skin sparing mastectomies with immediate breast reconstruction with with placement of DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 40

This is a 55 year old female who is 5 feet 3 inches and weighed 131 pounds at the time of her surgery. She was diagnosed with left breast cancer with axillary lymph node involvement and elected for bilateral mastectomies with delayed immediate breast reconstruction with placement of tissue expanders and ADM. She then elected for adjuvant radiation therapy and 3 months after completion elected for bilateral removal of tissue expanders, capsulectomies, pectoralis major advancement flaps and placement of DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 41

This is a 61 year old female who is 5 feet 6 inches and weighed 173 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for bilateral skin sparing mastectomies with immediate breast reconstruction with DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 42

This is a 62 year old female who is 5 feet 3 inches and weighed 157 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for bilateral skin-sparing mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 43

This is a 60 year old female who is 5 feet 1 inch tall and weighed 141 pounds at the time of her surgery. She was diagnosed with left breast cancer and elected for a lumpectomy with adjuvant radiation therapy. Unfortunately she was diagnosed with recurrent left breast cancer and elected for bilateral skin-sparing mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral CV nipple flaps to recreate her nipple reconstruction. Once healed she elected for bilateral 2D areola tattooing to complete her breast reconstruction.

Patient 44

This is a 54 year old female who is 5 feet 3 inches and weighed 150 pounds at the time of her surgery. She was diagnosed with left breast cancer and elected for bilateral skin-sparing mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breasts with autologous fat grafting to enhance the volume to her breasts. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 45

This is a 57 year old female who is 5 feet tall and weighed 167 pounds at the time of her surgery. She was diagnosed with breast cancer in 2017 and elected for bilateral mastectomies with implant based breast reconstruction at an outside facility. She then elected for bilateral removal of her implants, capsulectomies, pectoralis major advancement flaps with placement of DIEP flaps with phasix mesh to the abdomen for her autologous based breast reconstruction. A few months later she elected for bilateral revision of reconstructed breasts with autologous fat grafting. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction

Patient 46

This is a 63 year old female who is 5 feet 4 inches tall and weighed 206 pounds at the time of her surgery. She was diagnosed with left breast cancer and elected for a left skin-sparing mastectomy with immediate breast reconstruction with placement of tissue expander and ADM. Once she was filled to a size of her preference she elected for left removal of tissue expander, capsulectomy, with pectoralis major advancement flap and placement of DIEP flap with phasix mesh to abdomen and right breast mastopexy to optimize symmetry for medical necessity. She then elected for left 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 47

This is a 54 year old female who is 5 feet 6 inches and weighed 169 pounds at the time of surgery. She was initially diagnosed with left breast cancer and elected for a left lumpectomy. Unfortunately she was diagnosed with left breast cancer and elected for a left breast nipple-sparing mastectomy with immediate breast reconstruction with placement of DIEP flap and phasix mesh to the abdomen. She then elected for adjuvant chemotherapy and radiation therapy.

Patient 48

This is a 56 year old female who is 5 feet 6 inches tall and weighed 156 pounds at the time of her surgery. Due to a strong family history of breast cancer, she elected for bilateral prophylactic skin-sparing simple mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breasts with autologous fat grafting and excision of fat necrosis to her abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 49

This is a 49 year old female who is 5 feet 5 inches and weighed 188 pounds at the time of surgery. She was diagnosed with right breast cancer and elected for bilateral skin-sparing simple mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breasts with autologous fat grafting and scar revision to her hypertrophic abdominal scar. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 50

This is a 47 year old female who is 5 feet 8 inches tall and weighed 179 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for bilateral skin-sparing simple mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 51

This is a 64 year old female who is 5 feet 4 inches and weighed 180 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for bilateral skin-sparing simple mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breasts with autologous fat grafting and excision of bilateral dog ears to flanks with closure. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 52

This is a 67 year old female who is 5 feet 8 inches and weighed 168 pounds at the time of her surgery. She was diagnosed with breast cancer and elected for bilateral nipple sparing mastectomies with direct-to-implant based breast reconstruction. Unfortunately she developed an infection and elected to have her implants removed. She then elected for bilateral DIEP flaps with phasix mesh to the abdomen to complete her breast reconstruction.

Patient 53

This is a 65 year old female who is 5 feet 7 inches and weighed 179 pounds at the time of surgery. She was diagnosed with right breast cancer and elected for neo-adjuvant chemotherapy with bilateral mastectomies with immediate breast reconstruction with placement of DIEP flaps and phasix mesh to the abdomen to complete her breast reconstruction.

Patient 54

This is a 31 year female who is 5 feet 1 inches tall and weighed 173 pounds at the time of surgery. Due to a strong family history of breast cancer she elected for a bilateral nipple sparing mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breasts with autologous fat grafting to complete her breast reconstruction.

Patient 55

This is a 57 year old female who is 5 feet 11 inches tall and weighed 255 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for a left breast mastectomy with adjuvant chemotherapy and radiation therapy. She then elected for a delayed breast reconstruction utilizing a DIEP flap and phasix mesh to the abdomen with right mastopexy to optimize symmetry. She then elected for left 3D nipple/areola tattooing to complete her breast reconstruction.

Patient 56

This is a 44 year old female who is 5 feet 3 inches tall and weighed 141 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for bilateral mastectomies with placement of tissue expanders with ADM. Once her expanders were filled to the size of her preference of she underwent bilateral removal of tissue expanders, placement of HCG implants, and autologous fat grafting. However she desired an autologous based breast reconstruction and underwent a bilateral removal of implants, capsulectomies, pectoralis major advancement flaps, and bilateral DIEP flaps with autologous fat grafting to breasts She then elected for bilateral 3D nipple/areola reconstruction to complete her breast reconstruction.

Patient 57

This is 50 year old female who is 5 feet tall and weighed 141 pounds at the time of surgery. She was diagnosed with right breast cancer and elected for removal of her implants (placed previously cosmetically) with right skin-sparing mastectomy and immediate breast reconstruction with placement of right DIEP flap and phasix mesh to the abdomen and left mastopexy to optimize symmetry. She then elected for bilateral CV nipple flaps with second stage 2D areolar tattooing.

Patient 58

This is a 52 year old female who is 5 feet and weighed 164 pounds at the time of surgery. She is BRCA 2 positive genetic mutation and elected for bilateral simple mastectomies with removal of her implants (placed previously cosmetically) with immediate breast reconstruction with capsulectomies, pectoralis major advancement flaps, and placement of DIEP flaps with phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breast with bilateral CV nipple flaps and excision of left dog ear with closure. She then elected for 2D areolar tattooing to complete her breast reconstruction.

Patient 59

This is a 41 year old female who is 5 feet 1 inches tall and weighed 198 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for bilateral skin sparing mastectomies with immediate breast reconstruction utilizing DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breasts with autologous fat grafting and lipocontouring laterally to breasts with bilateral CV nipple flap reconstruction and cosmetic liposuction to her inner thighs. She then elected for bilateral 2D tattooing to complete her breast reconstruction.

Patient 60

This is a 33 year old female who is 5 feet 7 inches tall and weighed 156 pounds at the time of surgery. She has a family history of breast cancer and underwent bilateral skin-sparing prophylactic mastectomies with immediate autolgous-based bilateral DIEP flap breast reconstruction.

Patient 61

This is a 52 year old female who is 5 feet 4 inches tall and weighed 168 pounds at the time of surgery. She was diagnosed with right breast cancer and elected for bilateral nipple-sparing mastectomies and delayed bilateral DIEP flap breast reconstruction.

Patient 62

This is a 49 year old female who is 5 feet 7 inches tall and weighed 228 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for bilateral skin-sparing mastectomies with DIEP flap breast reconstruction. She later completed 3D nipple-areola tattoo reconstruction.

Patient 63

This is a 26 year old female who is 5 feet 1 inches tall and weighed 147 pounds at the time of surgery. She was diagnosed with breast cancer and BRCA1 genetic mutation. She elected for right DIEP flap breast reconstruction and left latissimus dorsi flap reconstruction with placement of Mentor smooth, round, high profile, extra-filled silicone gel 535 cc sub-latissimus implant on the left side. She elected for bilateral 3D nipple-areola reconstruction.

Patient 64

This is a 63 year-old female who was diagnosed with right breast cancer and elected for bilateral mastectomy with immediate bilateral DIEP flap breast reconstruction.

Patient 65

This is a 63 year-old female who elected for bilateral mastectomy with immediate bilateral DIEP flap breast reconstruction.

Patient 66

This is a 52 year old female who is 5 feet 6 inches tall and weighed 180 pounds at the time of surgery. She was diagnosed with right breast cancer and elected for delayed bilateral DIEP flap breast reconstruction. She later completed bilateral 3D nipple-areola tattoo reconstruction.

Patient 67

This 57 year-old female was diagnosed with left breast cancer and elected for bilateral mastectomies with placement of tissue expanders at the first stage. Her second stage she elected of removal of bilateral tissue expanders and placement of DIEP flap breast reconstruction and approximately 3 months she elected for nipple/areola reconstruction.

Patient 68

This is a 44 year-old female who was diagnosed with right breast cancer and elected for a right mastectomy with immediate bilateral DIEP flap breast reconstruction.