Before and After Gallery

Mastectomy and Implant Reconstruction

Before
Mastectomy with Implant Reconstruction
After
Mastectomy with Implant Reconstruction

This is a 55–year-old woman with left breast cancer. She undergoes a bilateral mastectomy and reconstruction with implants placed on top of her chest muscle through incisions at the bottom of her breast. She is shown 6 months after her mastectomy.  She only requires one surgery and is never admitted to the hospital.

This 37–year-old woman with left breast cancer desires a “lifted appearance” with a modest increase in breast size.  She undergoes bilateral mastectomy with immediate reconstruction with implants placed on top of her muscle through incisions placed at the bottom of her breast.   She never requires hospital admission and her reconstruction is completed in one surgery.  She is shown 12 months after her mastectomy.

Before
Mastectomy with implant reconstruction
After
Mastectomy with Implant reconstruction
Before
Mastectomy with Implant Reconstruction
After

This 49–year-old woman who undergoes bilateral prophylactic mastectomy and reconstruction for a strong family history of breast cancer. Her surgery is performed though incisions placed at the bottom of the breast and her implants are placed on top of the muscle.  She is discharged on the day of surgery and never requires hospital admission.  She requests an increase in breast size which Dr. Schwartz was able to perform for her.

This 39–year-old woman with bilateral breast cancer desirous of a bilateral mastectomy and increase in breast size.  She undergoes bilateral mastectomy and reconstruction with implants placed on top of her chest muscle though incisions placed at the bottom of her breast.  She is shown 6 months after her mastectomy.

Before
Mastectomy with Implant Reconstruction
After
Mastectomy with Implant Reconstruction
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After

This 53-year old female with right breast cancer and an inherited predisposition (BRCA) to breast cancer undergoes bilateral mastectomy and immediate reconstruction with implants through incisions at the bottom of her breasts.  She undergoes a second procedure for fat transfer and a small lift.   She is shown three months after her second surgery.

This 44 year-old female with right breast cancer decides to proceed with a mastectomy but desires to keep her left breast. She undergoes a right mastectomy and immediate reconstruction with an implant placed on the top of the muscle through an incision placed at the bottom of her breast. Her symmetry is very good despite the fact that the right side has been reconstructed with an implant and her left contains just her native breast.
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After
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After

This 51-year-old female with extensive left breast cancer elects to proceed with a mastectomy but keep her right breast.  Her left mastectomy incision is placed underneath her left breast and her implant is placed on top of the chest muscle.  She has excellent symmetry between the breasts which is very challenging for most surgeons to accomplish when performing a reconstruction on just one side (and not operating on the other side).

This 53-year-old female with an extensive left breast cancer presents after chemotherapy.  She undergoes a left mastectomy and immediate reconstruction with an implant placed on top of her chest muscle.  She does not want any surgery performed on her right breast.  She then requires radiation therapy to the left breast reconstruction.  Despite having surgery and reconstruction followed by radiation on just the left side, Dr. Schwartz is still able to provide her with excellent symmetry.

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After
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After

This is a 44-year-old female with a known BRCA2 mutation and an extensive family history of breast cancer. She desires bilateral prophylactic mastectomy and immediate reconstruction in one surgery. She desires nipple preservation. Given her very low nipple positioning and asymmetry, this is a difficult case. Dr Schwartz is able to retailor her skin envelope, reposition her nipple and obtain symmetry between the breasts in one surgery.  She is discharged home on the day of surgery without hospital admission.

This is a 51-year-old female with a stage one left breast cancer and a known palb 2 mutation. She desires bilateral mastectomy and immediate reconstruction with implants with nipple preservation. Her most important request is, she wants to have all procedures done in just one surgery. Dr Schwartz is the only breast surgeon in Atlanta who can satisfy her desires and proceeds with a bilateral mastectomy, reduces her skin envelope, repositions her nipple and immediately reconstructs her with implants in one surgery without hospital admission. This patient is very pleased with her final result.

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After
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This is a 62-year-old female with an extensive left breast cancer. She undergoes a left wise-pattern mastectomy and immediate nipple reconstruction using a CV flap. On the right, she undergoes an inferior pedicle breast reduction. She will benefit from areolar tattooing in the future. She has excellent symmetry. Most surgeons don’t perform immediate nipple reconstruction at the time of mastectomy committing the patient to additional surgeries. It is Dr. Schwartz’s goal to complete your reconstruction in one surgery without any additional planned surgery.

This is a 63-year-old female with an extensive left breast cancer who requires a mastectomy. She undergoes a left wise-pattern mastectomy and free nipple graft. She undergoes an immediate reconstruction with a less form stable or softer implant placed above the muscle on the left side. On the right, she undergoes a right breast reduction for symmetry. The use of a softer or less form stable implant placed above the muscle allows us to obtain excellent symmetry with the opposite, healthy right breast. This approach was first described and published by Dr Schwartz in 2021.

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After
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After

This is a 44 year old female who undergoes a left wise-pattern mastectomy, free nipple graft reconstruction and immediate implant placement. She undergoes a right breast reduction for symmetry. She undergoes areolar tattooing on the left to optimize her final result. She is shown six months after her left breast areolar tatoo. She requires only one surgery for her cancer resection,  definitive reconstruction and contralateral symmetry procedure.  The approach of placing a softer, less form stable implant above the muscle after mastectomy to obtain symmetry with the opposite healthy side was an approach first described by Dr.  Schwartz in 2021