This delightful mother of 2 in her late 40's was diagnosed with right breast cancer after her annual screening mammogram in The Woodlands, TX. Under guidance from her breast surgeon, she decided to have a right nipple-sparing mastectomy. After considering her reconstructive options, the patient chose tissue-based reconstruction to create a more natural feeling, long-term maintenance-free reconstructed breast. A right DIEP flap breast reconstruction was performed. This procedure uses advanced microvascular techniques to move excess fat tissue from the lower abdomen to rebuild the breast. The abdominal flap skin was removed leaving only the fat tissue to be buried beneath the preserved breast skin and nipple after mastectomy. One additional outpatient revision surgery was performed 6 months later with fat grafting, liposuction, and scar revision to optimize the final outcome. The patient was pleased with her result, noting that the right breast looked natural with excellent symmetry to her left native breast.
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