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46-year-old woman with right recurrent breast cancer after past lumpectomy and radiation. A bilateral nipple-sparing mastectomy and immediate reconstruction using the DIEP flap was performed, incorporating a breast lift and bilateral free nipple and areola grafts into the procedure. Better symmetry was achieved in a single surgery. Follow up photos at 6 months are shown, with slight loss of pigmentation of her areolas that were later tattooed to fill in light areas.

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