Patient is a 62 year-old mother of three. She is a nurse in the Clear Lake area and was found to have a mass on a screening mammogram in her right breasts. She opted to undergo bilateral mastectomy with immediate DIEP flap reconstructions.

Surgery 1

Bilateral mastectomy with immediate DIEP flaps. She had skin-sparing mastectomies and her DIEP flaps retained skin paddles initially for monitoring.

Surgery 2/3

Second stage surgery included revision of her reconstructions with excision of skin on her breasts for shaping and fat grafting along with revision of her abdomen. The second-stage surgery was to focused on lifting her breasts and making them younger and perkier. Aggressive liposuction was performed on her abdomen to add lipofilling to her upper medial breast reconstructions. Her third surgery was to reconstruct her nipples and this simple procedure was performed in the office with no downtime.

Surgery 4

Final step was areolar tattoo to complete her reconstruction. This too was done under local anesthetic in the office with little to no downtime.