Pictures of patients who have undergone mastectomy and breast reconstruction using perforator flaps are contained in this section. Examples include DIEP flaps, SIEA flaps, LAP flaps, TUG flaps and SGAP—flaps for immediate breast reconstruction, delayed breast reconstruction and replacement of breast implants with natural tissue.
We believe that seeing photographs of women who have had different types of breast reconstruction can be a useful part of the information-gathering process when you are considering breast reconstruction surgery. The before-and-after photographs in this section represent actual breast reconstruction procedures performed by Dr. Greenspun. (All photographs used with permission.)
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The photographs in this section, which are of patients in our practice who have provided consent to display their photographs online, are intended for for general informational and educational purposes only. Individual results vary based upon a number of factors including body type, age, breast size and lifestyle.
Women who choose a DIEP or SIEA flap for natural-tissue reconstruction will have skin and fatty tissue removed from the lower abdominal area through an incision similar to that used for a "tummy-tuck." The tissue will be transferred to the chest and sculpted to restore their breast.
By including tissue from each hip area together with DIEP flaps from the lower abdominal area, significantly more volume can be used to reconstruct both breasts. Narrowing of the waistline and lifting of the lower body are accomplished with this technique.
For women who do not have enough lower abdominal tissue, or for women who prefer to use tissue from other areas of the body, the "love handles," thighs, and buttocks are all potential locations from which tissue can be borrowed and used to reconstruct one or both breasts.
Breast implants can be used to help recreate a breast removed by mastectomy. When implants are used for reconstruction, scars can be limited to just the breast. Our preferred method of implant breast reconstruction, known as pre-pectoral implant reconstruction, places a breast implant directly into the space created by mastectomy, and therefore avoids tissue expansion.
Breast reduction surgery removes excess breast tissue to reduce breast size and hopefully symptoms such as neck and shoulder pain that are often associated with large breasts. The breasts are also typically lifted and contoured during breast reduction surgery. Breast lift surgery contours and lifts a women’s breasts without reducing overall breast size.