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Before and after breast revision in a 64-year-old breast cancer survivor. She previously had a right mastectomy and TRAM flap reconstruction. Fifteen years later, she developed breast asymmetry as her left breast naturally increased in volume and drooped with age and time while the right reconstructed breast did not.

Her revision involved reshaping of her right breast reconstruction with liposuction, relocation of the prior right nipple-areola reconstruction higher up as a free graft, a left balancing breast reduction and lift, and debulking of the bra rolls (axillary rolls) – over a liter and a half of fat was removed!

Medical tattoo was used to brighten and even out the color and intensity of both nipples and areolas. Follow up photos are shown 4 months after surgery.

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

Dr Karen Horton