Breast reconstruction before and after photos.

Before

BRCA, nipple-sparing mastectomy, Alloderm one-step - before pic

After

BRCA, nipple-sparing mastectomy, Alloderm one-step - after pic

This BRCA+ patient underwent bilateral nipple-sparing prophylactic mastectomies and immediate breast reconstruction with silicone implants and Alloderm ("Alloderm One-Step") through inframammary fold incisions.

Before

Delayed-Immediate DIEP flap - before

After

Delayed-Immediate DIEP flap - after

Before

After

This patient underwent bilateral DIEP flap breast reconstruction. She had previously had a right mastectomy followed by chemotherapy and radiation. After completing her breast cancer treatment, she underwent a left prophylactic skin-sparing mastectomy and bilateral reconstruction with DIEP flaps. Nipple-areolar reconstruction, breast revision (for optimal symmetry) and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage in the office. 

These pictures highlight how "immediate" reconstruction (at the same time as the mastectomy) creates less scarring than reconstruction performed some time after the mastectomy ("delayed" reconstruction). Learn more about immediate vs delayed reconstruction here.

Before

Bilateral skin sparing mastectomy and DIEP flap - before picture

After

Bilateral skin sparing mastectomy and DIEP flap - after picture

Before

After

This patient underwent bilateral mastectomies and immediate reconstruction with DIEP flaps. Nipple-areolar reconstruction and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage.

Before

Nipple-sparing mastectomy, implant reconstruction and fat grafting, before photo

After

Nipple-sparing mastectomy, implant reconstruction and fat grafting, after photo

This patient underwent bilateral nipple-sparing mastectomies and immediate breast reconstruction with tissue expanders and Alloderm. The second reconstructive stage (3 months later) involved exchange of the tissue expanders for silicone implants and fat grafting to achieve the most natural results. Scars were placed in the inframammary fold (crease).

Before

Bilateral TUG Flap - before photo

After

Bilateral TUG Flap - after photo

Before

After

This patient underwent bilateral mastectomy and immediate breast reconstruction with TUG flaps. Bilateral breast revision, nipple-areolar reconstruction, and scar revisions were performed as a second stage. Nipple-areolar tattooing was performed as the final stage.

Before

TUG flap - before photo

After

TUG flap - after photo

Before

After

Before

After

This patient underwent a left skin-sparing mastectomy and immediate breast reconstruction with a TUG flap as part of her left breast cancer treatment. She had previously undergone right mastectomy and TRAM flap reconstruction for right breast cancer at another institution several years earlier. Bilateral breast revision, nipple-areolar reconstruction, and scar revision were performed as a second stage. Nipple-areolar tattooing was performed as the final stage.

Before

Bilateral immediate DIEP flaps - before

After

Bilateral immediate DIEP flaps - after

Before

After

This patient underwent bilateral mastectomies and immediate reconstruction with DIEP flaps. Nipple-areolar reconstruction and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage.

Before

After

Before

After

This had undergone bilateral mastectomies and left chest radiation therapy as treatment for her left breast cancer. She then underwent bilateral delayed reconstruction with DIEP flaps. Nipple-areolar reconstruction, breast revision (for improved symmetry) and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage as an office procedure.

Before

After

Before

After

This patient underwent right skin-sparing mastectomy and bilateral DIEP flap breast reconstruction (right immediate, left delayed). Nipple-areolar reconstruction, breast reconstruction revision and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage.

Before

After

Before

After

This patient underwent bilateral mastectomies and immediate reconstruction with DIEP flaps. Nipple-areolar reconstruction and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage.

Before

After

Before

After

This patient underwent bilateral skin-sparing mastectomies and immediate reconstruction with DIEP flaps. Nipple-areolar reconstruction, breast revision and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage.

Before

Lat flap - before photo

After

Lat flap - after photo

Before

After

Before

After

Before

After

Due to a very strong family history of breast cancer, our patient underwent bilateral total mastectomies and immediate reconstruction with Latissimus Dorsi flaps. Nipple-areolar reconstruction and scar revisions were performed as a second procedure. Nipple-areolar tattooing was performed as the final step in the office under local anesthetic.

Before

Skin-sparing mastectomies and immediate DIEP flap breast reconstruction, before photo

After

Skin-sparing mastectomies and immediate DIEP flap breast reconstruction, after photo

Before

After

Before

After

Before

After

This patient underwent bilateral skin-sparing total mastectomies and immediate reconstruction with DIEP flaps. Nipple-areolar reconstruction, breast revision and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage.

Before

After

Before

After

This patient underwent bilateral skin-sparing total mastectomies and immediate reconstruction with DIEP flaps. Nipple-areolar reconstruction, breast revision (for optimal symmetry) and abdominal contouring were performed as a second procedure. Nipple-areolar tattooing was performed as an office procedure under local anesthesia as the final step of the reconstruction.

Before

After

Before

After

Before

After

Before

After

This patient underwent bilateral skin-sparing mastectomies and immediate DIEP flap reconstruction. Bilateral nipple reconstruction, breast revision and abdominal contouring were performed at stage two. Nipple-areolar tattooing was performed as the final stage in the office under local anesthetic.

Before

After

Before

After

Before

After

Before

After

This patient underwent bilateral skin-sparing mastectomies and immediate reconstruction with DIEP flaps. Breast revision (for optimal symmetry), nipple-areolar reconstructions and abdominal contouring were performed as a second stage. Nipple-areolar tattooing was performed as the final stage in the office under local anesthetic.

Before

After

Before

After

Before

After

Before

After

This patient underwent a right skin-sparing mastectomy. Immediate DIEP flap breast reconstruction was performed. Nipple-areolar reconstruction and nipple-areolar tattooing were performed as two additional stages.

Before

After

Before

After

Before

After

Before

After

This patient underwent a left mastectomy and immediate DIEP flap reconstruction. Nipple-areolar reconstruction and abdominal contouring were performed at a second procedure. The final step, nipple-areolar tattooing, was performed as an office procedure.

Before

Lat flap - before picture

After

Lat flap - after picture

Before

After

This patient underwent a right skin-sparing mastectomy and immediate reconstruction with a latissimus dorsi flap. Right nipple-areolar reconstruction and left breast reduction were performed as a second procedure. Right nipple-areolar tattooing was performed as the final step in the office under local anesthetic.

Before

Before direct to implant

After

After direct to implant

Before

After

Before

After

Before

After

This patient underwent bilateral nipple-sparing mastectomies and one-step breast reconstruction with silicone gel implants and Alloderm ("Alloderm One-Step breast reconstruction").

Before

Tissue expanders and Alloderm - before

After

Tissue expanders and Alloderm - after

Before

After

Before

After

This patient underwent bilateral nipple-sparing mastectomies and immediate reconstruction with tissue expanders and Alloderm. The tissue expanders were replaced with silicone implants at a second procedure 3 months later.

Before

After

Before

After

Before

After

Before

After

This patient underwent delayed left breast reconstruction with an sGAP flap. Nipple-areolar reconstruction, breast revision (for optimal symmetry) and buttock donor site revision were performed as a second procedure. Nipple-areolar tattooing was performed as the final stage in the office.

Before

After

Before

After

Before

After

This patient underwent bilateral skin-sparing mastectomies and immediate breast reconstruction with DIEP flaps. Breast reconstruction revision (for optimal symmetry), nipple-areolar reconstruction and abdominal contouring were performed as a second procedure (stage 2). Nipple-areolar tattooing was performed in the office under local anesthesia as the final reconstructive stage.

Before

Latissimus flap before pic

After

Latissimus flap after pic

Before

After

Before

After

This patient underwent bilateral skin-sparing mastectomies and immediate breast reconstruction with latissimus flaps and tissue expanders. The tissue expanders were replaced with silicone implants at a second procedure and the nipple-areolar reconstructions were performed at the same time. Nipple-areolar tattooing was performed as an office procedure to complete the reconstruction.

Before

After

Before

After

Before

After

Before

After

This patient underwent bilateral nipple-sparing mastectomies and immediate breast reconstruction with DIEP flaps.

Before

After

This patient underwent bilateral immediate breast reconstruction with DIEP flaps. Nipple-areolar reconstructions and nipple-areolar tattooing were performed as two additional stages.

Before

After

Before

After

This patient underwent right skin-sparing mastectomy and immediate DIEP flap breast reconstruction. Nipple-areolar reconstruction and nipple-areolar tattoing were performed at two additional stages.

Before

After

Before

After

This patient underwent bilateral immediate breast reconstruction with DIEP flaps. Nipple-areolar reconstructions and abdominal contouring were performed as a second procedure. Nipple-areolar tattooing was performed as a third stage in the office to complete the reconstruction.

Before

After

Before

After

This patient underwent bilateral skin-sparing mastectomies and immediate reconstruction with DIEP flaps. Nipple-areolar reconstructions and nipple-areolar tattooing were performed at two additional stages.

Before

Before mastectomy & reconstruction - Latissimus flap

After

After mastectomy & reconstruction - Latissimus flap

Before

After

This patient underwent bilateral skin-sparing mastectomies and immediate breast reconstruction with latissimus flaps. Nipple-areolar reconstructions and breast reconstruction revision (including a breast lift for optimal symmetry) were performed as a second procedure. Nipple-areolar tattooing was performed at a later stage as an office procedure to complete the reconstruction.

Before

After

Before

After

Before

After

Before

After

This patient underwent bilateral immediate breast reconstruction with DIEP flaps. Nipple-areolar reconstructions, breast revision and abdominal re-contouring were performed at stage two. Nipple-areolar tattoing was performed as the final stage in the office under local anesthetic.

Before

Before Lat flap

After

After Lat flap

Before

After

Before

After

Before

After

This patient underwent right skin-sparing mastectomy and immediate reconstruction with a latissimus flap. She had previously undergone lumpectomy and radiation on the left side. Nipple-areolar reconstruction, left mastopexy (breast lift) was performed at the second stage. Right nipple-areolar tattooing was performed as the final stage under local anesthetic in the office.

Before

After

Before

After

This patient underwent delayed right breast reconstruction with a DIEP flap. A left mastopexy (breast lift) was performed for improved symmetry along with right nipple reconstruction as a second procedure (second stage). Right nipple-areolar tattooing was performed as the third stage under local anesthetic in the office.

Before

After

Before

After

This patient underwent a left skin-sparing mastectomy and immediate reconstruction with a DIEP flap. Nipple-areolar reconstruction and abdominal donor site contouring were performed at a second surgery. Nipple-areolar tattooing was performed as the final reconstructive step as an office procedure.

Before

right skin-sparing mastectomy and immediate DIEP flap breast reconstruction, before picture

After

right skin-sparing mastectomy and immediate DIEP flap breast reconstruction, after picture

Before

After

Before

After

Before

After

This patient underwent right skin-sparing mastectomy and immediate DIEP flap breast reconstruction. Nipple-areolar reconstruction and nipple-areolar tattooing were performed as two additional stages.

BRCA, nipple-sparing mastectomy, Alloderm one-step - before pic
BRCA, nipple-sparing mastectomy, Alloderm one-step - after pic
Delayed-Immediate DIEP flap - before
Delayed-Immediate DIEP flap - after
Bilateral skin sparing mastectomy and DIEP flap - before picture
Bilateral skin sparing mastectomy and DIEP flap - after picture
Nipple-sparing mastectomy, implant reconstruction and fat grafting, before photo
Nipple-sparing mastectomy, implant reconstruction and fat grafting, after photo
Bilateral TUG Flap - before photo
Bilateral TUG Flap - after photo
TUG flap - before photo
TUG flap - after photo
Bilateral immediate DIEP flaps - before
Bilateral immediate DIEP flaps - after
Lat flap - before photo
Lat flap - after photo
Skin-sparing mastectomies and immediate DIEP flap breast reconstruction, before photo
Skin-sparing mastectomies and immediate DIEP flap breast reconstruction, after photo
Lat flap - before picture
Lat flap - after picture
Before direct to implant
After direct to implant
Tissue expanders and Alloderm - before
Tissue expanders and Alloderm - after
Latissimus flap before pic
Latissimus flap after pic
Before mastectomy & reconstruction - Latissimus flap
After mastectomy & reconstruction - Latissimus flap
Before Lat flap
After Lat flap
right skin-sparing mastectomy and immediate DIEP flap breast reconstruction, before picture
right skin-sparing mastectomy and immediate DIEP flap breast reconstruction, after picture