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Before and After Gallery

Mastectomy and Flap Reconstruction

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After

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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