Breast Reconstruction by Tissue Expansion / Implant Cases

The complexities of breast reconstruction after a mastectomy in a very saggy and large breast cannot be understated. Here is the finished result of combining breast reduction and staged tissues expander implant reconstructions. The outcome looks like a breast reduction but is actually a bilateral total mastectomy patient!



The patient presented with tissue expander/implant reconstruction using the technique of a breast reduction skin pattern mastectomy. This facilitates a lifted outcome. Look carefully at the nipple “reconstruction”. It is an optical illusion!

I did #D tattooing to make it look like a nipple and areola without surgery.

A nipple-sparing bilateral mastectomy is still a total mastectomy where all tissue under the skin is completely removed. Potentially disfiguring, it can be reconstructed to yield a lovely breast. Look at how I did it here using a staged approach with tissue expanders and then implants.

This patient underwent the conventional non-nipple sparing method of a bilateral mastectomy. She was reconstructed using a staged approach first with tissue expanders and then with implants. I reconstructed  (created from nothing) life-like nipple and areola and then pigmented them to give a truly great result. Hard to believe this breast was created from essentially nothing.

This case demonstrates the presence of tissue expansion implant reconstruction. Shown with final implants, bilateral 3-D tattooing (by me) for nipple reconstruction and fat grafting of infra-clavicular post-mastectomy hollow, the results are outstanding for post-mastectomy reconstruction.

This case showcases my approach to Breast Reconstruction in women undergoing mastectomies who have sagging breasts. I have a unique way of combining breast reduction pattern flaps incorporated in a mastectomy which at the end of the process ensures a far superior aesthetic outcome!

This patient presents with complex issues of extreme sag and a large areola with a high scar. I planned reconstruction and mastectomy incisions to mimic that of a breast reduction.

The final result after a bilateral total mastectomy is amazing!

Managing very large breasts with significant sag is the most complex part of a mastectomy reconstruction.

I take a unique approach to this problem, converting the mastectomy to a breast reduction pattern and reconstructing the breast to look like a lift plus an implant.

An amazing result!

This is a very complex case. Combining a mastectomy with a tissue expander in a ptosis construction anomaly is challenging. Here, she is seen after the nipple reconstruction.

I completely reshaped the entire breast footprint from oddly angular to a nice round appealing breast shape.

A great outcome!

This case demonstrates the use of 3D tattooing in cases where either the patient declines nipple reconstruction or in past radiation where formal nipple reconstruction may not work well. The 3D pigmentation process looks like there is a real nipple in place!