This woman presented having had attempts elsewhere at breast reconstruction after right mastectomy for breast cancer (top views). She had an implant reconstruction on the right and a breast lift on the left already done when I initially saw her. Her right side reconstruction was without shape, had profound hollowness and rippling (top right view) and was not a match to the left, either by volume, position or shape. The left side was poorly shaped and the nipple was too high (top left view).
I removed the right side implant and scar tissue, performed a latissimus flap with implant, created a new nipple, re-lifted the left breast, and added an implant on the left side to create balance, symmetry, and aesthetic shape. In the post op views (bottom) the left breast now has a properly positioned nipple, balanced volume, and improved shape. The right reconstruction matches well, has a nice natural shape, and the hollowness (upper pole) was corrected with fat grafting (compare the two right photos; view of the patients breast before and after). An outstanding transformation.