DIEP Flap Breast Reconstruction
Case 1
DIEP Flap Breast Reconstruction
Case 2
DIEP Flap Breast Reconstruction
Case 3
DIEP Flap Breast Reconstruction
Case 4
DIEP Flap Breast Reconstruction
Case 5
DIEP Flap Breast Reconstruction
Case 6
DIEP Flap Breast Reconstruction
Case 7
DIEP Flap Breast Reconstruction
Case 8
DIEP Flap Breast Reconstruction
Case 9
DIEP Flap Breast Reconstruction
Case 10
DIEP Flap Breast Reconstruction
Case 11
DIEP Flap Breast Reconstruction
Case 12
DIEP Flap Breast Reconstruction
Case 13
DIEP Flap Breast Reconstruction
Case 14
DIEP Flap Breast Reconstruction
Case 15
DIEP Flap Breast Reconstruction
Case 16
DIEP Flap Breast Reconstruction
Case 17
DIEP Flap Breast Reconstruction
Case 18
DIEP Flap Breast Reconstruction
Case 19
DIEP Flap Breast Reconstruction
Case 20
DIEP Flap Breast Reconstruction
Case 21
DIEP Flap Breast Reconstruction
Case 22
DIEP Flap Breast Reconstruction
Case 23
Description
This is a 58 year old female who was diagnosed with left breast cancer. She elected to undergo bilateral nipple sparing mastectomies. She did not desire to have implants and therefore underwent reconstruction with DIEP flaps.
DIEP Flap Breast Reconstruction
Case 24
Description
This is a 54 year old female with a previous history of right breast cancer for which she underwent a lumpectomy and radiation therapy. She developed recurrent cancer in her right breast and decided to undergo bilateral mastectomies. Due to her history of right breast radiation, implants would have been high risk. She opted for breast reconstruction with DIEP flaps so she could use her own abdominal tissue instead of implants. A breast lift was performed at the same time as the flaps. She then underwent nipple reconstruction and tattooing.
DIEP Flap Breast Reconstruction
Case 25
Description
This is a 48 year old female who was diagnosed with right breast cancer. She underwent a right nipple sparing mastectomy and DIEP flap reconstruction. She still needs removal of the right breast skin paddle from the flap and minor revision.
DIEP Flap Breast Reconstruction
Case 26
Description
This is a 47 year old female with a previous history of left breast cancer, for which she underwent breast conservation (lumpectomy and radiation therapy). She had a significant left breast deformity from the lumpectomy and radiation and the entire left breast was smaller, contracted, and had the nipple pulled outward. She developed a recurrence in the left breast and therefore underwent double mastectomies. Due to the previous radiation and the already distorted left breast, DIEP flap breast reconstruction was her best option. The skin from her abdomen was used on the left breast in order to replace the lack of skin on the bottom of the breast.
DIEP Flap Breast Reconstruction
Case 27
Description
This is a 51 year old female who developed right breast cancer. She did not desire implants and had excess fat and skin on her abdomen. She underwent bilateral mastectomies and DIEP flap reconstruction. She had significant abdominal wall laxity and separation of the abdominal muscles, which was fixed and repaired at the time of the DIEP flaps. She had a breast lift performed at a second surgery as a revision.
DIEP Flap Breast Reconstruction
Case 28
Description
This is a 46 year old female diagnosed with left breast cancer. She elected to undergo bilateral mastectomies, but her left nipple and areola needed to be removed. She first underwent bilateral breast reconstruction with tissue expanders. She needed a completion left axillary dissection after the mastectomy, which was complicated by left arm lymphedema and a chronic infection in her left underarm area. Due to the risk of infection of an implant, she decided to switch the tissue expanders to DIEP flaps instead of implants.
DIEP Flap Breast Reconstruction
Case 29
Description
This is a 49 year old female with a previous history of breast cancer, for which she underwent double mastectomies and implant reconstruction by another plastic surgeon. She was not pleased with her implant reconstruction result, as they appeared and felt unnatural. The left implant was smaller, higher, and had significant rippling. She desired to replace both implants with her own tissue. She underwent removal of both breast implants and replacement with DIEP flaps. She underwent a second revision surgery to inject more fat into the flaps to give them an even fuller shape and more projection. She then underwent nipple reconstruction and tattooing.
DIEP Flap Breast Reconstruction
Case 30
Description
This is a 52 year old female with a history of left breast cancer, for which she underwent bilateral mastectomies and implant reconstruction by another plastic surgeon. She needed radiation therapy to the left breast. She developed left arm lymphedema and recurrent infections of the left breast. These infections needed to be treated multiple times with IV antibiotics in the hospital and with PICC lines (as seen in the preoperative photo). She decided to undergo removal of both implants to remove the foreign bodies which continued to get infected. Both breasts were then reconstructed with DIEP flaps at the same surgery. She has been free of infection since the DIEP flap breast reconstruction.
DIEP Flap Breast Reconstruction
Case 31
Description
This is a 64 year old female who was diagnosed with left breast cancer. She decided to undergo bilateral mastectomies and desired DIEP flap reconstruction because she would need radiation to the left breast after mastectomy. She underwent bilateral breast reconstruction with DIEP flaps and the left breast was reconstructed to be slightly larger since this would shrink slightly with radiation therapy. The postoperative photo seen is before radiation therapy. After radiation therapy is completed, she can undergo nipple reconstruction and tattooing.
DIEP Flap Breast Reconstruction
Case 32
Description
This is a 55 year old female who had previously undergone bilateral mastectomies for breast cancer. She had reconstruction performed by another plastic surgeon with tissue expanders and then implants. She was not happy with her reconstruction including the overall shape of her breasts, intermittent pain, and the unnatural feel of the implants. She underwent removal of both of the breast implants and replacement with DIEP flaps. She was the perfect candidate and had the right amount of tissue in her lower abdomen to reconstruct both breasts. She subsequently underwent nipple reconstruction and she is scheduled to undergo tattooing.
DIEP Flap Breast Reconstruction
Case 33
Description
This is a 47 year old female who was diagnosed with right breast cancer. She decided to undergo double mastectomies, but she would need radiation therapy to the right breast after mastectomy. Understanding the higher risks of implant reconstruction with radiation therapy, she elected to undergo bilateral breast reconstruction with DIEP flaps. She has finished radiation therapy in the postoperative photo seen.
DIEP Flap Breast Reconstruction
Case 34
Description
Patient was referred from another hospital after undergoing double mastectomies and tissue expander reconstruction. She unfortunately lost her right breast tissue expander due to infection. She desired to no longer have implants and therefore underwent DIEP flap reconstruction of both breasts. She still needs nipple reconstruction and tattooing.
DIEP Flap Breast Reconstruction
Case 35
Description
Patient underwent a right nipple sparing mastectomy. Due to her large breast size, she needed a Stacked DIEP flap, which uses two flaps from both sides of the lower abdomen to reconstruct one breast. One flap is “stacked” on top of the other flap to create a larger breast.
DIEP Flap Breast Reconstruction
Case 36
Description
Patient underwent bilateral nipple sparing mastectomies and DIEP flap reconstruction.
DIEP Flap Breast Reconstruction
Case 37
Description
Patient underwent bilateral nipple sparing mastectomies and DIEP flap reconstruction.
DIEP Flap Breast Reconstruction
Case 38
Description
Patient underwent double mastectomies at another hospital, along with implant reconstruction. She was very unhappy with her implants, as they were shaped “gummy bear” implants that kept flipping and rotating inside her. She underwent removal of both of her implants and DIEP flap breast reconstruction. She was incredibly pleased with the natural feel of her breasts after flap reconstruction without implants.
DIEP Flap Breast Reconstruction
Case 39
Description
This patient previously had bilateral mastectomies and tissue expander reconstruction by another plastic surgeon. She had radiation therapy to her left breast and lost the tissue expander due to infection. She was referred for reconstruction of both breasts with DIEP flaps.
DIEP Flap Breast Reconstruction
Case 40
Description
This patient had undergone a previous left breast lumpectomy and radiation therapy years ago. She now had a left breast cancer recurrence and chose to undergo bilateral breast reconstruction with DIEP flaps. DIEP flaps have a lower risk of complications compared to implant reconstruction after previous radiation.
DIEP Flap Breast Reconstruction
Case 41
Description
This patient had a previous left breast lumpectomy that left her with a significant indentation below her nipple. She decided to undergo bilateral mastectomies and DIEP flap reconstruction. The after photo shows her after DIEP flap reconstruction, nipple reconstruction, and tattooing.
DIEP Flap Breast Reconstruction
Case 42
Description
This patient underwent bilateral nipple sparing mastectomies and DIEP flap reconstruction.
DIEP Flap Breast Reconstruction
Case 43
Description
This patient underwent bilateral mastectomies and tissue expander reconstruction by another plastic surgeon. She needed right breast radiation therapy, which caused opening of her right breast incision and implant exposure. The right implant was therefore removed and her radiated skin became adherent to her ribs. She was referred for bilateral breast DIEP flaps. All the tight radiated skin from the right chest was removed and replaced with soft non-radiated abdominal skin with the flap procedure.
DIEP Flap Breast Reconstruction
Case 44
Description
This patient underwent bilateral mastectomies and implant reconstruction by another plastic surgeon. She then underwent radiation to her left breast which left her with significant capsular contracture (hardening of the implant) and thinning of the skin. She was referred for bilateral breast implant removal and reconstruction with DIEP flaps.
DIEP Flap Breast Reconstruction
Case 45
Description
This patient underwent bilateral nipple sparing mastectomies and DIEP flap reconstruction. She underwent a breast lift at the second touch up surgery.
DIEP Flap Breast Reconstruction
Case 46
Description
This patient underwent a left mastectomy and tissue expander reconstruction by another plastic surgeon. She then needed left breast radiation therapy which caused significant hardening of her implant (capsular contracture). She therefore opted to undergo removal of her tissue expander and reconstruction with a DIEP flap. She also underwent a reduction and lift of her right breast for better symmetry. She still needs to undergo left nipple and areola 3D tattooing.
DIEP Flap Breast Reconstruction
Case 47
Description
This patient underwent bilateral mastectomies and implant reconstruction by another plastic surgeon. She had right breast radiation therapy which made the implant harder and higher on her chest (capsular contracture). She was referred for bilateral implant removal and reconstruction with DIEP flaps. She then underwent bilateral nipple reconstruction and tattooing.
DIEP Flap Breast Reconstruction
Case 48
Description
Patient with a history of right breast cancer who had previously undergone tissue expander and implant reconstruction by another plastic surgeon. She had radiation to her right breast and had right breast capsular contracture and bilateral animation deformities (from implants being behind her muscle). She underwent removal of both of her implants, placement of her pectoralis muscles back into the correct position on the chest, and reconstruction with DIEP flaps.
DIEP Flap Breast Reconstruction
Case 49
Description
Patient after bilateral mastectomies and DIEP flap breast reconstruction. She had a nipple sparing procedure.
DIEP Flap Breast Reconstruction
Case 50
Description
Patient underwent bilateral mastectomies for left breast cancer and initially had tissue expander and implant reconstruction. She had problems with her implants and they continued to be asymmetric and the left side was harder. She underwent removal of both of her implants and new reconstruction with DIEP flaps.
DIEP Flap Breast Reconstruction
Case 51
Description
Patient underwent bilateral mastectomies and DIEP flap breast reconstruction.
DIEP Flap Breast Reconstruction
Case 52
Description
Patient underwent bilateral mastectomies, DIEP flap reconstruction, nipple reconstruction and tattooing.
DIEP Flap Breast Reconstruction
Case 53
Description
Patient with left breast cancer who underwent bilateral nipple sparing mastectomies and DIEP flap reconstruction.
DIEP Flap Breast Reconstruction
Case 54
Description
Patient with right breast cancer who underwent bilateral mastectomies and DIEP flap breast reconstruction, followed by right breast radiation therapy.
DIEP Flap Breast Reconstruction
Case 55
Description
Patient had a very large left breast phyllodes tumor that encompassed the majority of her breast. She underwent a left mastectomy and DIEP flap reconstruction. She later had breast lifts on both sides to make her more symmetric.
DIEP Flap Breast Reconstruction
Case 56
DIEP Flap Breast Reconstruction
Case 57
