Breast Augmentation to Create Symmetry

This page shows two patients. The first is a patient who chose implant reconstruction; the second chose latissimus flap reconstruction. Remember that the tissue expander method cannot be used where radition took place. You may click on any photo on this page for a larger view.

Implant Reconstruction Patient

This woman chose the implant method of breast reconstruction on her left breast, and had her right (native) breast augmented to attain symmetry.

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Fig. 1: Pre-operative image after positive biopsy for left breast cancer, prior to mastectomy and immediate reconstruction
Fig. 2: This image was taken at the completion of the expansion process, prior to placement of the permanent breast implant.
Fig. 3: For symmetry, we enlarged (augmented) her right breast. We also removed the portacath (visible at the upper right chest wall in photo #2), which had been placed for chemotherapy.
Fig. 4: Final result after nipple/areola reconstruction.

Latissimus Flap Reconstruction Patient

This lady had previously undergone mastectomy of the right breast for cancer. She also had treatment with radiation. Because of the radiation treatment, reconstruction with tissue expansion was not possible, and we opted to perform reconstruction with a latissimus flap from her back. She also desired to make her left (native) breast somewhat larger.

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Figs. 1 & 2: After mastectomy, but before reconstruction procedure. Pre-op images.
Figure 3: Intra-operative picture, showing outline of the latissimus flap and the skin that will be taken from her back and used to reconstruct the breast.
Figs. 4& 5: Early post-operative results, after latissimus flap reconstruction
Figs. 6 & 7: After second stage reconstruction, in which implants were placed at both breasts to give more volume.
Figure 8: Ultimate back scar after latissimus flap harvest.

Mastopexy (Breast Lift)

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Before & After This woman has chosen implant reconstruction for her right breast, and mastopexy for her left breast to attain symmetry. (All photos on this page are of a single patient.) Click on photos for larger view.

Symmetry Through Breast Reduction

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Fig. 1: This lady presented after mastectomy and radiation therapy. The first image shows the early result after latissimus breast reconstruction. The radiation damage to her skin is shown by the brown skin changes (black arrow); the non-radiated skin from her back (white arrow) makes up the inferior pole of her breast.
Fig. 2 & 3: The second and third images show her results after breast reduction on the left side, and nipple/areola reconstruction on the right side. Note: this patient had opted for the latissimus flap reconstruction.