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56-year-old woman with right breast cancer. She underwent bilateral skin-sparing mastectomies designed through a breast reduction pattern and immediate DIEP/SIEA flap breast reconstructions. She later had chemotherapy and right-sided radiation therapy. Note that a year after radiation therapy, her right breast reconstruction is slightly higher when compared to the left (non-radiated) breast reconstruction. Bilateral nipple and areola reconstructions were performed prior to radiation. The radiation therapy did not injure the flap but caused it to slightly shrink in volume (approximately 10%).

before
after
before
after
before
after

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

Dr Karen Horton