Description:

Deep inferior epigastric perforator flap DIEP.  Nipple sparing mastectomy for breast cancer. While abdominal scars do exist they are similar to those of a abdominoplasty/tummy talk. Underwear Underwear or bathing suit selection can help make those difficult to see.

Description:

Description:

Implant – Silicone, Smooth Round High Profile
Volume – 325 cc
Implant Placement – Sub glandular
Cup size change – C to full D

Patient Story

This patient is a young woman who has not yet had children. She proud of her full figure and was very “easy in her skin” but desired breast augmentation to create more balance in her figure. She felt “bottom heavy” due to her fuller hips and buttocks. Dr. Weinfeld discussed the breast augmentation conceptually as a way to enhance Vertical Aesthetic Volume Equality (VAVE) in her body. VAVE is concept championed by Dr. Weinfeld that expresses balanced proportions between the breast/shoulders and the hips/buttocks. She underwent breast augmentation and was extremely pleased with the power it had in reversing the slight “pair shaped” appearance her body projected prior to her surgery. Of special note is the fact that this patient had substantial breast tissue prior to her augmentation and thus was able to undergo a sub glandular rather than and sub muscular augmentation. Due to this placement she realizes the benefits of improved projection and the absence of breast animation with arm movement. While this technique is not indicated for all patients she was an excellent candidate.

Description:

Description:

Implant – Silicone, Smooth Round High Profile
Volume – 375 cc
Implant Placement – Dual Plane (Sub-Muscular)
Cup size change – Small B to large C

Patient Story

This patient is a tall but petite African American Woman from Round Rock, Texas. She met Dr. Weinfeld at a health fair. Based on that impromptu interaction she made an appointment for a consultation. In that appointment she noted her deflated breast, the result of breast feeding her children. She desired fuller breasts that would give her more feminine appearance in clothes. Her recovery was rapid and she noted less discomfort than she expected. She has been very happy with her results.

Description:

Description:

Implant – Silicone, Smooth Round Midrange Profile
Volume – 304 cc
Implant Placement – Dual Plane (Sub-Muscular)
Cup size change – Small B to C

Patient Story

This patient is young thirties, very-active (long distance runner and skilled tennis player) mother of two. She is a medical professional and knew Dr. Weinfeld from his work in a hospital in Austin, Texas. She desired a breast augmentation that would make a significant impact on her appearance yet not be so large that it would limit her physical activity. She was informed of her pre-existing chest wall and breast asymmetry, likely due to very mild scoliosis, and thus accepted that there would be some residual post augmentation asymmetry of shape, size, and location. She has been a very satisfied patient and valued source of continued referrals to Dr. Weinfeld’s Cosmetic Surgery Practice.

Description:

Description:

Implants: Silicone, Smooth Round Midrange Profile
Volume: 339cc
Incision: Inframammary Crease
Implant Placement: Dual Plane (Sub-Muscular)
Cup size change: Small B to C

Patient Story

This patient is a mother of two in her late thirties. She was referred to Plastic Surgeon Dr. Weinfeld (Austin,Texas) by her husband, a physician, who knew of Dr. Weinfeld professionally. She desired fuller breasts but emphasized that she wanted a natural appearance that would not look like she had a breast augmentation. She also was interested in a result that would be durable. After this consultation the patient and Dr. Weinfeld arrived at a moderate augmentation that would not be perceived as an obvious augmentation and would not lead to premature sagging and aging due to an oversized implant. Both the patient and her husband have been very happy with the result.

Description:

Followup from implant-based breast reconstruction for breast cancer risk reduction. This woman’s sister and mother had breast cancer. To reduce her own risk she underwent bilateral (double) mastectomies. Tissue expanders were placed at first and were later replaced with silicone implants. Her nipples were saved so she has a very natural appearance. She wears low-cut evening gowns and bikinis with confidence. She says that she goes for days without remembering that she has had her breast removed.

1st – pre op. 2nd – post op (note the increased symmetry). 3rd – post op in bra. 4th – post op in clothes.

Description:

One year follow up from breast reconstruction with implants for a nipple sparing mastectomy. This patient is quite happy with her results and achieved her goal of a natural appearing reconstruction with a slight increase in size. It should be noted that in some in some individuals scars are noticeable at a year and often darker scars or thicker scars are a result of genetics instead of technique.

Description:

This patient underwent breast reconstruction with a deep inferior epigastric perforator flop (Diep Flap). She had undergone a mastectomy for breast cancer and also had treated with chemotherapy. She has gone on to have nipple reconstruction, but has not yet had nipple tattooing. In addition to having had her breast reconstructed the effects of the abdominal portion of the Diep Flap plus weight loss has significantly transformed her body. One other important detail is that this patient had undergone a breast reduction prior to being diagnosed with breast cancer, and those scars can be seen in the preoperative photographs.

Description:

Three month follow up from implant based breast reconstruction following bilateral nipple sparing mastectomy (double mastectomy). The implants are pre-pectoral (above the muscle) and an acellular dermal matrix was used. This patient also underwent nerve reconstruction to restore sensation to the nipple which is important for many women for intimacy and to prevent injury to the skin. This is a thin patient and the photos demonstrate some of the limitations in this patient population. On the side and three-quarters view a small amount of rippling is seen and a small crease or valley on the outer edge of the implant. While seen in heavier patients, these features are less noticeable in heavier patients because the mastectomy and adjacent skin is thicker and there is more fat to use for fat grafting to smooth away the contour irregularities. Another thing to consider is that the path of the reconstructed nerve is located on the outer edge of the breast. The need to protect the nerve limits some of the techniques used to smooth those areas. This patient is very happy and recognizes the limitations and compromises.

Description:

Unilateral (her left) breast reconstruction with diep flap. This comparison shows how with the unilateral reconstruction there are often some asymmetries that are noticeable when naked, but when in clothing, even as little as a bra or a bathing suit, the breast can appear extremely symmetric. While bilateral mastectomies and reconstruction often create more symmetry than unilateral mastectomy and reconstruction there are good reasons to do a mastectomy on one or both breast, and appearance is not the only factor in that consideration. A conversation with your breast surgeon and with a plastic surgeon can help you through these decisions. What I hope you take away from this image, though, is that with unilateral reconstruction, and even a minimal amount of clothing symmetry is quite achievable.