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DIEP Flap Reconstruction

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Patient 1

56 year old female with immediate bilateral DIEP flap reconstruction.

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Patient 2

54 year old female with immediate bilateral DIEP flap reconstruction.

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Patient 3

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

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Patient 4

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

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Patient 5

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

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Patient 6

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

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Patient 7

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

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Patient 8

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

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Patient 9

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Patient 10

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. .

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Patient 11

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

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Patient 12

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

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Patient 13

65 year old female with immediate bilateral DIEP flaps for reconstruction and 3D nipple-areola tattoo.

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Patient 14

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

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Patient 15

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

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Patient 16

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

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Patient 17

53 year old female with immediate bilateral DIEP flaps for reconstruction and nipple reconstruction followed by areolar tattoo.

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Patient 18

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

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Patient 19

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Patient 20

Delayed Immediate radiation to the left breast

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Patient 21

Left DIEP flap with 2D nipple areola reconstruction

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Patient 22

Procedure: Bilateral DIEP flap breast reconstruction followed by 3D nipple/areola reconstruction

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Patient 23

Bilateral Nipple Sparing DIEP flap breast reconstruction

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Patient 24

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

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Patient 25

Procedure: Immediate bilateral free-nipple graft DIEP flap breast reconstruction

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Patient 26

Bilateral Nipple Sparing Mastectomy with bilateral DIEP flap breast reconstruction

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Patient 27

Left DIEP flap breast reconstruction, CV nipple flap reconstruction followed by a 2D tattoo areola, and right breast mastopexy.

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Patient 28

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Patient 29

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.

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Patient 30

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.

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Patient 31

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.

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Patient 32

This 52 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.

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Patient 33

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

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Patient 34

This 56 year old female is 5 feet 6 inches and weighed 179 pounds at the time of her surgery. She was diagnosed with left breast invasive ductal carcinoma and elected for bilateral mastectomies and immediate breast reconstruction with placement of bilateral DIEP flaps. At her final stage approximately 4 months later she elected for bilateral nipple/areola reconstruction.

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Patient 35

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.

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Patient 36

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.

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Patient 37

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.

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Patient 38

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.

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Patient 39

This is a 56 year old female who is 5 feet 6 inches tall and weighed 172 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 utilizing a left DIEP flap with phasix mesh to the abdomen and right mastopexy to optimize symmetry for medical necessity. She then elected for left CV nipple flap reconstruction, excision of fat necrosis central abdomen with closure of abdomen and right mastopexy to optimize symmetry for medical necessity. A few months later she elected for a left 2D areola tattoo to complete her nipple/areola reconstruction.

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Patient 40

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.

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Patient 41

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.

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Patient 42

This is a 52 year old female who is 5 feet 9 inches and weighed 150 pounds at the time of surgery. She was diagnosed with recurrent breast cancer this time to the left breast and elected for bilateral nipple sparing mastectomies with DIEP flaps and phasix mesh to her abdomen for immediate breast reconstruction surgery.

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Patient 43

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.

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Patient 44

This is a 54 year old female who is 5 feet 3 inches tall and weighed 185 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for bilateral mastectomies with immediate breast reconstruction with DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola reconstruction.

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Patient 45

This is a 66 year old female who is 5 feet 7 inches tall and weighed 195 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for a lumpectomy with adjuvant radiation therapy. Years later her breast cancer returned and she elected for a right mastectomy with immediate breast reconstruction utilizing DIEP flap and left breast reduction to optimize symmetry for medical necessity. She then elected for right CV nipple flap with second stage areola 2D tattoo.

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Patient 46

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.

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Patient 47

This is a 54 year old female who is 5 feet 3 inches and weighed 174 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for a lumpectomy with adjuvant chemotherapy. However she did not prefer radiation therapy and instead elected for a bilateral mastectomies with immediate breast reconstruction with removal of her implants (placed previously cosmetically) capsulectomies, placement of DIEP flaps and pectorals major advancement flaps with phasix mesh to the abdomen. She then elected for revision to her reconstructed breasts with autologous fat grafting and bilateral CV nipple flaps. Shortly after she elected for her second areola tattooing to complete her breast reconstruction.

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Patient 48

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.

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Patient 49

This is a 57 year old female who is 5 feet 4 inches tall and weighed 185 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for bilateral simple mastectomies with immediate breast reconstruction utilizing placement of tissue expanders and ADM. She then elected for adjuvant radiation therapy. Once she completed radiation therapy she elected for bilateral removal of tissue expanders, with pectoralis major advancement flaps and placement of DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral CV nipple flap followed by 2D areola tattooing to complete her breast reconstruction.

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Patient 50

This is a 61 year old female who is 5 feet 6 inches and weighed 173 pounds at the time of surgery. She was diagnosed with right breast cancer and elected for bilateral 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.

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Patient 51

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.

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Patient 52

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.

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Patient 53

This is a 59 year old female who is 5 feet 6 inches and weighed 200 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for bilateral mastectomies with immediate breast reconstruction with placement of sub-pectoral tissue expanders and ADM. She then elected for bilateral removal of tissue expanders, capsulectomies, pectorals major advancement with washout and placement of DIEP flaps with phasix mesh to the abdomen. She then elected for bilateral 3D nipple/areola reconstruction to complete her breast reconstruction.

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Patient 54

This is a 53 year old female who is 5 feet 5 inches tall and weighed 185 pounds at the time of surgery. She was diagnosed with right breast cancer and elected for bilateral mastectomies with immediate breast reconstruction with placement of tissue expanders and ADM. She then elected for removal of tissue expanders, capsulectomies, pectoralis major advancement flaps, and placement of DIEP flaps and phasix mesh to the abdomen for her second stage breast reconstruction. She then elected for bilateral 3D nipple/areola reconstruction to complete her breast reconstruction.

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Patient 55

This is a 41 year old female who is 5 feet 3 inches and weighed 195 pounds at the time of her surgery. She was diagnosed with left breast cancer and elected for bilateral nipple sparing mastectomies with immediate breast reconstruction utilizing placement of subpectoral tissue expanders with ADM. She then elected for bilateral removal of tissue expanders, pectoralis major muscle advancement with DIEP flaps and phasix mesh to the abdomen for her second stage breast reconstruction. She then elected for bilateral breast reconstruction revision with autologous fat grafting to her breasts to complete her breast reconstruction.

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Patient 56

This is a 66 year old female who is 5 feet 7 inches and weighed 158 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 with placement of DIEP flaps and phasix mesh to the abdomen. She then elected for bilateral revision of reconstructed breasts with autologous fat grafting and right breast wise pattern skin tightening/lifting. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

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Patient 57

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.

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Patient 58

This is a 53 year old female who is 5 feet 4 inches and weighed 137 pounds at the time of her surgery. She was diagnosed with right breast cancer and elected for a right nipple sparing mastectomy with direct to implant based breast reconstruction with left augmentation to optimize symmetry at an outside facility. Unfortunately her breast cancer returned to the right breast and she then elected for a total mastectomy on the right and skin sparing mastectomy on the left with again placement of direct to implant at an outside facility. Unfortunately her surgical pathology revealed positive margins so she elected for removal of her right implant. A few years later she elected for left removal of implant, capsulectomy with pectoralis major advancement flaps and bilateral DIEP flaps with phasix mesh to the abdomen. Shortly after she desired a larger size breasts so she elected for bilateral revision of reconstructed breasts with liposuction-contouring and autologous fat grafting and placement of silicone gel implants in a sub-DIEP plane. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction

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Patient 59

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.

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Patient 60

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.

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Patient 61

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.

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Patient 62

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.

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Patient 63

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.

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Patient 64

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.

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Patient 65

This is a 58 year old female who is 5 feet 4 inches and weighed 181 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.

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Patient 66

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.

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Patient 67

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.

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Patient 68

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

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Patient 69

This is a 44 year old female who is 5 feet 5 inches tall and weighed 170 pounds at the time of her surgery. She was diagnosed with left breast cancer with metastatic disease to her left axilla and elected for bilateral skin-sparing mastectomies with immediate breast reconstruction with placement of tissue expander and ADM. She then elected for radiation therapy to her left side. Once she was filled to a size of her preference and radiation was completed she elected for bilateral removal of tissue expanders, capsulectomies with pectoralis major advancement flaps and placement of DIEP flaps with phasix mesh to abdomen. She then elected for bilateral revision of her reconstructed breasts. She then elected for bilateral 3D nipple/areola tattooing to complete her breast reconstruction.

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Patient 70

This is a 42 year old female who is 5 feet 3.5 inches tall and weighed 195.6 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 CV nipple flaps to recreate her nipple reconstruction. Once healed she elected for bilateral 2D areola tattooing to complete her breast reconstruction.

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Patient 71

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.

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Patient 72

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.

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Patient 73

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.

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Patient 74

This is a 50 year old female who is 4 feet 11 inches tall and weighed 138 pounds at the time of surgery. She was diagnosed with bilateral 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 to enhance her volume and CV nipple flaps. Once healed she elected for bilateral 2D areola tattooing to complete her breast reconstruction.

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Patient 75

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.

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Patient 76

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.

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Patient 77

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.

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Patient 78

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.

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