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Latissimus Flap Reconstruction

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Patient 1

62 year old female after bilateral mastectomy with prior right lumpectomy and chest wall radiation who underwent immediate reconstruction with latissimus flap and silicone gel implants and 3D nipple-areola reconstruction.
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Patient 2

67 year old female after bilateral mastectomy and right chest wall radiation who underwent delayed reconstruction with latissimus flap and silicone gel implants and 3D nipple-areola reconstruction
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Patient 3

53 year old female with prior right lumpectomy and radiation who was diagnosed with breast cancer for the second time and elected to have bilateral mastectomies. She underwent right latissimus and bilateral expander to silicone gel implants breast reconstruction.
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Patient 4

60 year old female with prior left lumpectomy and radiation who was diagnosed with breast cancer for the second time and elected to have bilateral mastectomies. She underwent left latissimus and bilateral expander to silicone gel implants breast reconstruction.
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Patient 5

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Patient 6

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Patient 7

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Patient 8

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Patient 9

46 year old female after right mastectomy and right chest wall radiation who underwent delayed reconstruction with latissimus flap and silicone gel implants, nipple-areola reconstruction and a left breast augmentation for symmetry.
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Patient 10

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Patient 11

53 year old female with prior right lumpectomy and radiation who was diagnosed with breast cancer for the second time and elected to have bilateral mastectomies. She underwent right latissimus and bilateral expander to silicone gel implants breast reconstruction.
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Patient 12

51 year old female with left mastectomy and chest wall radiation after left latissimus flap with implant based reconstruction and right augmentation mastopexy with silicone gel implants.
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Patient 13

This 46 year old female is 5 feet 5 inches tall who was 151 pounds at the time of her surgery. She has a history of left chest wall radiation and lumpectomy. She had bilateral nipple sparing mastectomies with tissue expander placement at time of her mastectomy and left latissimus flap. She underwent tissue expansion followed by removal of tissue expanders and placement of silicone smooth round ultra high 650cc implants with fat grafting to bilateral breasts.
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Patient 14

This 65 year-old female was diagnosed with bilateral breast cancer and elected for bilateral mastectomies followed by radiation therapy. She then elected for bilateral delayed breast reconstruction with latissimus flaps and placement of silicone gel implants.
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Patient 15

This 30 year-old female was diagnosed with right breast cancer and elected for bilateral mastectomies followed by radiation therapy to her right chest wall. Subsequently, she elected for delayed breast reconstruction with placement of tissue expanders and a right latissimus flap. At her second stage she elected for removal tissue expanders and placement of silicone gel implants. She then elected for a staged CV nipple flap and areola tattoo.
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Patient 16

This is a 63 year-old female who was diagnosed with left breast cancer and elected for bilateral mastectomies with placement of tissue expanders at the first stage. She also received radiation therapy to her left chest wall. She then elected for her second stage a left latissimus flap, removal of bilateral tissue expanders and placement of silicone gel implants for breast reconstruction. Finally, she elected for bilateral CV nipple flap reconstruction followed by 2D areola tattooing.
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Patient 17

This is a 49 year old female who is 5 feet 5 inches and weighed 169 pounds at the time of her surgery. She was diagnosed with right and left breast cancer and elected for bilateral skin sparing mastectomies with immediate breast reconstruction using tissue expanders with ADM. A few months later she elected for bilateral removal of tissue expanders, capsulotomies and placement of smooth, round, ultra-high profile silcone gel breast implants. Unfortunately she developed an infection of her implant and elected for removal of left implant. She elected for adjuvant radiation therapy. She then elected for a left latissimus flap with placement of tissue expander. A few months later she then elected for removal of left tissue expander, capsulotomies, placement of smooth, round silicone gel implant with autologous fat grafting. She then elected for bilateral 3D nipple/areola tattooing.
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Patient 18

This is a 65 year old female who is 5 feet 5.5 inches and weighed 140 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 placement of sub pectoral tissue expanders and acellular dermal matrix. She then elected for adjuvant radiation therapy. Subsequently, she elected for bilateral removal of tissue expanders with right capsulotomy and left total capsulectomy with placement of smooth, round, silicone gel implants and autologous fat grafting and ADM. Due to radiation therapy and viability of implant, she then elected for removal implant with total capsulectomy. A month later, she then elected for a left latissimus flap with immediate placement of implant. Mst recently, she elected for bilateral 3D nipple/areola tattooing for her final stage of breast reconstruction.
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Patient 19

This is a 51 year old female who is 5 feet 5 inches and weighed 137 pounds at the time of surgery. She was diagnosed with left breast cancer and elected for bilateral mastectomies with immediate breast reconstruction utilizing placement of tissue expanders and acellular dermal matrix. She then elected for adjuvant radiation therapy. She then elected for a left latissimus flap with bilateral capsulotomies with removal of tissue expanders, placement of smooth, round silicone gel implants and autologous fat grafting to infraclavicular hollows. She then elected for bilateral 3D ipple/areola tattooing for her final stage of breast reconstruction.
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Patient 20

This is a 63 year old female who is 5 feet 5 inches tall and weighed 209 pounds at the time of her surgery. She was diagnosed with recurrent left breast cancer and elected for bilateral mastectomies with bilateral extended latissimus flaps for reconstruction. She then elected for bilateral CV nipple flap reconstruction that once healed was followed by 2D areola tattooing to complete her reconstruction.
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