Lawrenceville, Georgia 30046
This is a 62-year-old female with extensive left breast cancer. She undergoes a left-wise-pattern mastectomy and immediate nipple reconstruction using. 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 52-year-old female with extensive right breast cancer involving her nipple. She undergoes resection of her nipple-areola complex on the right, reshaping of her breasts, and reconstructing her nipple and areola using a skin graft from excess skin on the right and sharing a portion of the nipple from the left. She undergoes a left breast reduction for symmetry. The approach of sharing a portion of the contralateral healthy nipple at the time of partial mastectomy was first described by Dr. Schwartz in 2018.
This 45-year-old female with right breast cancer proceeds with bilateral Goldilocks mastectomy and free nipple grafts with immediate implants. She requires no further surgery and is very pleased with her result. Her surgery is completed in 2 1/2 hours and she’s discharged home from our ambulatory surgery center and requires no hospital admission. She is shown here six months after her surgery and does not require any additional surgery for nipple reconstruction as she would with most other surgeons.
This is a 49-year-old female with central right breast cancer that is invading the nipple and the areola. She undergoes a right partial mastectomy to remove her nipple-areola complex and underlying breast tissue with immediate volume and skin replacement with a flap from the back. The new nipple is immediately reconstructed on the skin from the back flap. She has also undergone areolar tattooing to complete her reconstruction.
This is a 47-year-old female with right breast cancer that is invading the nipple. She undergoes resection of her nipple and areola and underlying breast tissue with replacement of volume with a flap from the back. The tissue from the back also supplies skin to reconstruct the areola. The right nipple is reconstructed by sharing a portion of the left nipple and grafting it to the new areolar skin. This procedure of nipple sharing after breast conservation was first described by Dr. Schwarz in 2021.
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 tattoo. She requires only one surgery for her cancer resection, definitive reconstruction, and contralateral symmetry procedure.
This is a 44-year-old female with right breast cancer that requires resection of her nipple, areola, and an extensive area of skin, resulting in a large scar across her right breast. She undergoes a right mastectomy and reconstruction with a tissue expander. In a subsequent surgery, we exchange her right tissue expander for a definitive implant and augment the left breast for symmetry. Finally, in her third and last surgery, we use half of the left nipple to reconstruct the right nipple and then proceed with areolar tattooing on both sides. She is shown six months after her tattooing with excellent symmetry between the breasts.