A patient desiring DIEP flap and nipple preservation. Despite anatomic limitations, free nipple grafting and a breast lift with DIEP flaps was performed. Incisions are identical to a breast lift procedure.
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Implant-Based Breast Reconstruction
March 19, 2020
The patient had bilateral skin-sparing mastectomies. She had two-stage implant reconstruction. She is shown 3 years after her original surgery with good symmetry and contour.
The patient elected for bilateral mastectomies with reconstruction. Given the patient’s desire to preserve her nipples, we performed DIEP flaps on both sides, a small breast lift, and nipple grafts. The nipple were removed and placed on to the flaps as grafts. The patient is shown 1.5 years after her original surgery.
The patient had bilateral nipple sparing mastectomies. She had bilateral DIEP flaps for reconstructive surgery. She is shown 3 years from her original surgery with an excellent breast and abdomen contour.
A patient had a failed reconstruction and several surgeries prior to our reconstruction. We were able to use a microvascular flap to resurface the ankle region. The thin skin flap allows for this patient to have durable soft tissue with a good contour that doesn’t interfere with wearing shoes.
A patient with an infected and necrotizing diabetic foot wound that otherwise would have resulted in a below-knee amputation. Utilizing a team approach, we can save a majority of this patient’s foot using a microvascular flap. The patient is 2 years from her reconstruction and continuing to walk and live a normal life.