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Before and after bilateral nipple-sparing mastectomies and DIEP flap breast reconstruction in a 50-year-old woman with past bilateral breast cancers treated with lumpectomies, chemotherapy and radiation. She finally received genetic testing and found out she was a carrier for the BRCA gene.

After having her ovaries and uterus removed to reduce her risk of ovarian cancer, she was ready to reduce her risk of yet another breast cancer. She had a past breast reduction and the lumpectomies and radiation therapy had created breast asymmetry. Her goal was to have better-matching breasts that were slightly smaller and perkier.

Bilateral mastectomies were performed and at the same procedure, skin and fat from her lower abdomen was microsurgically transplanted to her chest as DIEP flaps. A year later, she had minor scar revisions, fat grafting to her chest from her abdomen and flanks and medical tattoo to brighten the color of her areolas.

Follow-up photos are shown 3 years after DIEP flap surgery. Her scars are mature and she is finally able to not always be reminded of her breast cancer every time she dresses or undresses.

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*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.

Dr Karen Horton