Before and After Gallery

Nipple Reconstruction

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.

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This is a 52 year old female with an extensive right breast cancer involving her nipple . She undergoes resection of her nipple areola complex on the right, reshaping and her breasts and reconstructing her nipple and areola using a skin graft from excess skin on the right and sharing apportion of the nipple from the left. She undergoes a left breast reduction for symmetry. The approach of sharing a portion of the contralateral healthy at nipple at the time of partial mastectomy was first described by Dr. Schwartz in 2018.

This is a 53 year old female who underwent bilateral mastectomy and reconstruction with implants and radiation to the left breast. She had a complication requiring removal of her implants. She was told that she now required a flap reconstruction from the abdomen or back Given her previous history of left breast radiation therapy.  She wanted to attempt implant based reconstruction and was referred to Doctor Schwartz for discussion of this. Doctor Schwartz was able to inject fat into the left breast to improve its skin quality and then proceed with an implant-based reconstruction.  She is shown here six months after her final surgery. She is very pleased with her results.

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This is a 49 year old female with a 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 will undergo areolar tattooing in the future.

This is a 47 year old female with a 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.
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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.
This is a 44 year old female with an extensive right breast cancer that requires resection of her nipple and areola. She undergoes a right mastectomy and reconstruction with 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 a subsequent 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.
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