Immediate Tissue-Based Breast Reconstruction

HomePhoto Gallery Breast ReconstructionTissue-Based – Immediate

Procedure Details

Surgeon: Janelle Sousa, MD

Procedure: Nipple sparing mastectomy with transverse upper gracilis flap (TUG). Second stage breast revisions for symmetry using fat grafting.

Individual results may vary.
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After

Procedure Details

Surgeon: Janelle Sousa, MD

Procedure: Bilateral nipple sparing mastectomy with DIEP flap reconstruction. Second stage fat grafting.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Chad K. Wheeler, MD

Procedure: s/p B mastectomies and immediate tissue expanders followed by B TE removal and R breast hidden DIEP and left breast hidden SIEA. 3.5 months out.

Individual results may vary.
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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: Patient is known to be at high risk for breast canter, underwent stage I mastectomies and abdominal based free flap for breast reconstruction.

Individual results may vary.
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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure:This BRCA previvor chose nipple sparing mastectomy and DIEP reconstruction to decrease her lifetime breast cancer risk. She is 9 months from mastectomy and DIEP, and 4 months from revision surgery in the photos.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This Previvor is BRCA1+, and had Stage I breast reduction followed by Stage II nipple sparing mastectomy and DIEP flap reconstruction. She is shown after one round of revision, at 8 months from DIEP flap surgery.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure:This patient had a prior breast reduction, and was high risk for breast cancer. She chose nipple sparing mastectomy to reduce her lifetime breast cancer risk and DIEP reconstruction—she is 8 months from DIEPs and 4 months from revision surgery in the photos.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This patient had nipple taking mastectomies for breast cancer, and right/left SIEA free flap reconstruction, followed by revisions including nipple reconstruction. She is one year from right/left SIEAs and 6 months from revision in the photos. She also had areola tattooing.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Chad K. Wheeler, MD

Procedure: B nipple taking mastectomies, B buried (no skin paddle) SIEAs (abdominal free flap without touching the muscle) breast reconstruction, B breast revisions, Cosmetic liposuction of sides and skin revisions of flanks, B nipple reconstruction, B nipple tattooing,

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Emily A. Williams, MD

Procedure: Bilateral non nipple sparing mastectomy with DIEP reconstruction. Staged revision procedure with nipple reconstruction and areolar tattooing.

Individual results may vary.
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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: Patient had Stage I left mastectomy and bipedicled DIEP flap (two flaps for one breast), followed by Stage II left breast revision and right breast fat grafting for symmetry. Photos at 7 months from Stage I and 3.5 months from Stage II.

Individual results may vary.
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After

Procedure Details

Surgeon: Janelle Sousa, MD

Procedure: Bilateral DIEP Reconstruction

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This patient had nipple sparing mastectomies for breast cancer, and had DIEP reconstruction. She is shown 13 months from DIEP, and 9 months from revision surgery in the photos.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: BRCA patient who had bilateral mastectomy and DIEP, followed by one surgery for revision and fat grafting. Photos are 6 months after DIEP and 3 months after revision.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Emily A. Williams, MD

Procedure: prophylactic nipple sparing mastectomies with DIEP reconstruction. Staged breast revisions with fat grafting to bilateral breasts

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Chad K. Wheeler, MD

Procedure: Bilateral revision of reconstructed breasts with fat grafting to left breast from flanks.

Individual results may vary.
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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This patient old had chemotherapy followed by mastectomy/tissue expander placement for breast cancer. She subsequently had right breast radiation therapy. One year after radiation, she had DIEP reconstruction. She is two years from DIEPs, one year from final revision surgery, and 5 months from nipple/areola tattoos in the photos.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Chad K. Wheeler, MD

Procedure: DIEP breast reconstruction

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This patient with breast cancer had Stage I wise-pattern mastectomy and DIEP reconstruction, Stage II breast revision and fat grafting, and Stage III nipple reconstruction. Photos at 11 months from DIEP surgery.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: Patient with breast cancer who had mastectomies and tissue expanders during COVID, followed by DIEP reconstruction and revision surgeries. Her photos are 15 months after DIEP flap and 3 months after final revision.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: Patient: Bilateral mastectomy for breast cancer. Operation: Stage I immediate bilateral DIEP. Stage II: Nipple reconstruction. Photos at ten months from Stage I and 5 months from Stage II.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: Patient had Stage I DIEP reconstruction after nipple sparing mastectomy and Stage II medial breast fat grafting and removal of abdominal skin island. Photos at 8 months from Stage I and 4 months from Stage II.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This patient had preoperative chemotherapy, followed by right sided mastectomy and radiation for breast cancer. She subsequently had two free flap reconstruction (DIEP + SIEA) of the right breast, followed by left breast reduction for symmetry. She had right sided nipple and areola tattoo as a final step.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: Patient had mastectomies for breast cancer, followed one week later by bilateral DIEP flaps. She had a Stage II revision for fat grafting and nipple reconstruction. Final photos are 11 months from Stage I and 5 months from Stage II.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: Patient had bilateral mastectomies for breast cancer with Stage I DIEP and Stage II revision and nipple reconstruction. Photos are at 10 months from DIEP and 5 months from revision.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This patient chose right and left nipple taking mastectomies as her cancer treatment. She had delayed -immediate reconstruction with DIEP flaps, and two subsequent planned revision surgeries (for revision and nipple reconstruction, respectively).

Individual results may vary.
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After

Procedure Details

Surgeon: Derek Fletcher, MD

Procedure: Breast reconstruction DIEP flaps.

Individual results may vary.
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After

Procedure Details

Surgeon: Hunter Oliver-Allen, MD

Procedure: Patient with a history of right breast cancer underwent mastectomy. Had bilateral breast reconstruction with free abdominally-based flaps. As well as revision to reconstructed breasts, using fat grafted from the thighs. Scar revision was also done to the abdomen.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This patient is now 1.5 years from DIEP reconstruction after bilateral mastectomies for cancer. She had an initial wise pattern mastectomy followed by DIEP, and then revision procedures to include nipple reconstruction and areola tattoo.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Janelle Sousa, MD

Procedure: Patient with a personal history of breast cancer. She underwent bilateral mastectomy followed by reconstruction with DIEP flaps. Then she received a bilateral nipple reconstruction and revision of the left breast.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Chad K. Wheeler, MD

Procedure: Patient received DIEP breast reconstruction and fat grafting to the breasts from flanks. As well as cosmetic liposuction of posterior flanks and cosmetic excision of posterior flank skin.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Hunter Oliver-Allen, MD

Procedure: Patient with history of left breast cancer underwent reconstruction with bilateral DIEP flaps. Then Dr. Oliver performed a revision of bilateral reconstructed breasts with fat grafted from the abdomen. Scar revision was performed to the abdomen and bilateral flanks.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

Before

After

Procedure Details

Surgeon: Christopher Pannucci, MD MS

Procedure: This breast cancer patient had mastectomies and DIEP flap reconstruction, followed by one round of revision surgery. She is 1 year from DIEP, 4 months from revisions, and 1 month from nipple and areola tattoo in the photos.

Individual results may vary.
Click Here to Contact Plastic Surgery Northwest and set up a consultation.

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After

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