fbpx

Before and After Gallery

Revision of Breast Reconstruction

Before
After

47 year old female underwent bilateral mastectomy and reconstruction with an outside surgeon with multiple complications, significant asymmetry and poor aesthetic outcome. We revise her reconstruction to significantly improve her final aesthetic result. She will undergo nipple reconstruction in the future.

This is a 55-year-old female after a partial mastectomy and radiation therapy with a significant breast deformity.  She’s referred to Dr. Schwartz for correction of her breast deformity. The entire lower half of her right breast must be removed, including skin and underlying breast tissue, and replaced with a flap from the back. She is shown here six months after her flap reconstruction by Dr. Schwartz. She is very pleased with her final result.

Before
After
Before
After

This is a 55-year-old female after a partial mastectomy and radiation performed elsewhere. She’s referred to Dr. Schwartz to address her significant right breast deformity. The entire lower outer half of her right breast must be removed, including skin and underlying breast tissue, and replaced with a flap from the back. She is shown here six months after her flap reconstruction by Dr. Schwartz. She is very pleased with her final result.

This is a 53-year-old female who underwent a bilateral mastectomy and implant-based reconstruction elsewhere. Her aesthetic result is very poor and she desires revision. Dr. Schwartz removed her implants and replaced them with her own tissue from her back. She is shown here six months after her final surgery. She is very pleased with her results.

Before
Before
Before
After
Before
After

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 the 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 Dr. Schwartz for a discussion of this. Dr. 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.

This is a 60-year-old female who underwent a left partial mastectomy for breast cancer with an outside surgeon who was unable to clear her margins. She was unhappy with the location of her scar and was told that she required a mastectomy. She was referred to Dr. Schwartz for additional cancer surgery and reshaping of her breasts with repositioning of her scar. She is shown here two months after surgery with the successful removal of her breast cancer without performing a mastectomy. She gets the desired breast reduction result, repositioning of her scar, and reshaping of both of her breasts. She is very pleased with her final result.

Before
After
Before
After

70-year-old female presents to our clinic after a bilateral mastectomy and failed implant-based reconstruction with an outside surgeon. She refuses any additional attempts at implant reconstruction. She has a history of leg clots and is therefore a poor candidate for any type of abdominally-based tissue reconstruction. We offer her bilateral tissue flaps from the back (muscle-spring latissimus dorsi flaps). Her surgery is completed within four hours and she is discharged home the same day. She is considering nipple reconstruction in the future.

This is a 44-year-old female who underwent both right and left mastectomy for breast cancer with another surgeon from an outside hospital. Her reconstruction with implants failed, requiring the removal of her implants and the loss of significant left breast skin. Given her significant obesity and diabetes,  Dr. Schwartz advised her against implant-based reconstruction or using her own tissues from the abdomen as both strategies are prone to failure in high-risk patients. Using a strategy that Dr. Schwartz first described and published, he was able to optimize blood flow to her tissues in the back and reconstruct her in one surgery with just a single night stay in the hospital. Her new reconstructed breasts are soft and warm without the need for an implant and her only additional scar lies in the bra line from front to back.

Before
After