Before and After Gallery

Mastectomy and Flap Reconstruction

We are constantly updating our gallery with new and inspiring transformations. Stay tuned for more updates!

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52 year old female with an extensive right breast cancer desires bilateral mastectomy and implant reconstruction. The skin near the bottom of her right breast is extensively involved with cancer and requires removal. Doctor Schwartz immediately replaces this skin with tissue from the back to reconstruct her in one surgery. He is able to save both nipples. This is an approach that Dr. Schwartz described and published in 2021.

This is a 47-year-old female with a known inherited predisposition to breast cancer, BRCA-2. She is shown here after bilateral mastectomy and reconstruction with a muscle sparing dorsi flaps with second stage lift.  She is very pleased with her reconstructive results.

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This is a 44 year old morbidly obese female with a stage one left breast cancer. She’s interested in bilateral mastectomy and reconstruction. She undergoes bilateral mastectomy surgery, muscle sparing latissimus dorsi flap reconstruction, tightening and lifting of her breasts and free nipple grafting. Her donor sites on her back are shown and have healed nicely. She is very pleased with her final result.

This 57-year-old female desires a bilateral mastectomy and a definitive breast reconstruction in one stage. She refuses implants and is not interested in an abdominal flap. We proceed with a bilateral Goldilocks Mastectomy with free nipple grafts with immediate flap reconstruction using local tissues from the back. This surgery takes six to seven hours and requires an overnight hospital admission. She is satisfied with her final result and requires no further surgery.

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This is a 51-year-old female with extensive right breast cancer. She undergoes bilateral mastectomy and reconstruction with flaps from her back followed by a second stage lift procedure. She is shown here six months after her last surgery. She has some depigmentation of her right areola which can be addressed with a simple tattoo. Her donor sites in her bra line heal nicely in the back. She is very pleased with her results.

61-year-old female with extensive right breast cancer requiring mastectomy. She would prefer to use her own tissues and avoid an implant. The second picture demonstrates her final result. The last picture shows her at an oblique angle. Dr. Schwartz has written several papers on using this approach to reconstruct obese women.
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57-year-old female with extensive right breast cancer desiring bilateral mastectomy and reconstruction. She has a history of breast reduction. She refuses an implant. Given her history of a tummy tuck, her belly cannot be used to reconstruct her breasts. We use excess tissues from her back to reconstruct both breasts in one surgery. She is shown 6 months after surgery.
65-year-old female with right breast cancer requiring mastectomy. She undergoes a right mastectomy and immediate muscle-sparing latissimus flap in less than 3 hours and is discharged home that day. She is shown three months after surgery.
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54-year-old female undergoes left mastectomy and flap reconstruction with immediate lift and a right lift for symmetry. She is shown three months after surgery.
53-year-old female with both left and right breast cancer. Her left breast cancer has destroyed her nipple. She undergoes a bilateral mastectomy and immediate reconstruction using muscle-sparing latissimus flaps. This patient has refused nipple reconstruction. Cancer invaded both nipples which required their removal. She is happy with the results.
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55-year-old female with extensive right breast cancer.  She initially undergoes a right mastectomy with implant reconstruction and left reduction.  Her implant reconstruction fails to heal (likely secondary to her obesity and diabetes).  Dr. Schwartz removes her right breast implant and immediately replaces it with a flap from the back.  This strategy of immediately replacing an infected or non-healing implant with a flap from the back in the obese was described by Dr. Schwartz (most surgeons would remove the implant and then wait 3-6 months to either replace the implant or reconstruct it with a flap).   

44-year-old female with extensive left breast cancer involving her skin.  Dr. Schwartz removes this skin, replaces it with a flap from the back, and reconstructs her with an implant.   Mastectomy and implant reconstruction are also performed on the right.  Dr. Schwartz innovated this procedure for women with extensive skin involvement who desired one surgery to complete their nipple-sparing mastectomy and implant reconstruction in one surgery.  Bruising will go away and scaring will fade over time and this patient will be cancer-free with reconstructed breasts as she desired.

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50-year-old female with right breast cancer invading her skin.  Dr. Schwartz replaces this skin with a flap, saves both nipples, removes both breasts and reconstructs her with implants in one surgery.  This approach of immediately replacing skin to facilitate a nipple-sparing mastectomy and direct-to-implant reconstruction was described by Dr. Schwartz.

55-year-old female with left breast cancer invading her nipple.  She undergoes a left mastectomy and reconstruction with a muscle-sparing latissimus flap, replacing her areolar skin and breast volume.  On the right, she undergoes a breast lift.  She has chosen not to proceed with left nipple reconstruction.  She is shown 1 year after surgery.

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