This patient was a 27 year old with the BRCA 1 gene mutation who decided to have bilateral "nipple sparing" mastectomies. She underwent bilateral mastectomies with tissue expander placement. She had permanent silicone implants placed three months later.

This patient was a 34 year old with the BRCA 2 gene mutation who decided to have have bilateral "nipple sparing" mastectomies. She underwent bilateral mastectomies with tissue expander placement. She had permanent silicone implants placed three months later.

This 21 year old was interested in bilateral mastectomies and reconstruction after she found out she had the BRCA-2 mutation. Both her grandmother and mother had had advanced breast cancer and she wished to prevent its occurrence in her. She was 5'2" and weighed 145 pounds. She underwent bilateral skin-sparring mastectomies and reconstruction with bilateral latissimus flaps with silicone implants.

This 47 year old was interested in a delayed reconstruction of her right breast. Her first stage was a right latissimus flap with a tissue expander and a left mastopexy. Her reconstruction was completed with placement of silicone implants and a right nipple areolar reconstruction.

This 34-year-old woman was found to have a gene that causes breast cancer (BRCA.) Due to a very high risk of developing breast cancer, she elected to have both breasts removed with simultaneous latissimus flaps and tissue expanders. At a second stage, she had silicone implants placed and had nipple areolar reconstruction.

This 46-year-old female with left breast cancer underwent a left mastectomy with simultaneous latissimus flap and tissue expander placement. At a second stage, she had a permanent silicone implant placed on the left, and a nipple reconstruction on the left. To achieve symmetry, she also had an augmentation and a breast lift on the right side at the same time.

This 55-year-old female with right breast cancer who had a right mastectomy with simultaneous latissimus flap and tissue expander placement. At a second stage, she had a permanent silicone implant placed on the right, a nipple reconstruction on the right, and a breast augmentation on the left for symmetry.

This 47 year old had a attempted lumpectomy, but had positive margins.  She opted to have bilateral mastectomies and tissue expanders followed by permanent silicone implants with nipple areolar reconstruction.

This 48-year-old woman was 5'5", 170 pounds,and had a small right breast cancer in the setting of her breast hypertrophy.  This case is particularly interesting for a couple of reasons. First, the patient had a right partial mastectomy. Second, she underwent breast reconstruction using a breast reduction pattern. Because it is used in the setting of cancer treatment, it is called “Oncoplastic.” Note in the Before picture that her breasts are large and droopy, to the point that the nipple has fallen below the line of the inframammary crease (the point at which the underside of the breast meets the chest wall). The After photo shows that her breasts have been reduced in size and lifted so that the nipples point forward.  This technique is very useful for the breast cancer patient who has a small tumor compared to the size of her breast, who has large breasts and who desires to have breast conservation instead of a mastectomy.  Her treatment was completed with radiation therapy to the right breast.

This 52 year old underwent a mastectomy and a reconstruction with a latissimus flap and a tissue expander on her right side. At a second stage, she had permanents implant placed on both sides for symmetry and a nipple reconstruction.