DIEP flap and SIEA flap before and after photos.

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

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

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

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

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

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

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.

Before

After

Before

After

This patient underwent bilateral nipple-sparing mastectomies with immediate DIEP flap breast reconstruction. Breast revision (for optimal symmetry) and abdominal contouring were performed as a second stage. 

Before

After

Before

After

This patient underwent bilateral nipple-sparing mastectomies and immediate breast reconstruction with DIEP flaps. Breast revision (for optimal symmetry) and abdominal contouring were performed as a second stage. 

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
Bilateral immediate DIEP flaps - before
Bilateral immediate DIEP flaps - after
Skin-sparing mastectomies and immediate DIEP flap breast reconstruction, before photo
Skin-sparing mastectomies and immediate DIEP flap breast reconstruction, after photo
right skin-sparing mastectomy and immediate DIEP flap breast reconstruction, before picture
right skin-sparing mastectomy and immediate DIEP flap breast reconstruction, after picture