Breast Fat Grafting

Case Details: The patient is a 48 year old female with a history of breast cancer and BRCA mutation after prior bilateral mastectomies and reconstruction with a right latissimus flap and bilateral implants. She underwent multiple surgeries by other providers since her diagnosis in 2006, and presented with breast asymmetry, deformity and symmastia. She also had never been offered nipple reconstruction. We revised her reconstruction over several surgeries including: implant exchange, correction of symmastia with galafelx mesh, fat grafting, and nipple reconstruction. 3 months post. op last surgery. She will be revising her tattoos in the future as well.
Case Details: 65 y. old female with a history of right breast cancer who had a mastectomy and implant reconstruction years ago by another provider. She was unhappy with the shape and symmetry of the breasts. Procedures performed include left breast lift with auto-augmentation and revision right breast reconstruction with implant exchange, lift, fat grafting and right nipple reconstruction (done in two operations). An additional round of fat grafting to the right breast was discussed but she is happy with the results. She is also considering and nipple-areolar tattoo. 4 months post. op from second operation.
Case Details: 36 y. old female with hemihypertrophy right breast cancer and severe breast asymmetry as well as chest scarring from surgeries as a child. Procedures performed include: right lumpectomy/oncoplastic breast reduction and post operative radiation. Status post left breast lift, fat grafting and revision of chest scars for symmetry.
53 y. old female with a history of left breast cancer. S/p left mastectomy, implant reconstruction, fat grafting and nipple reconstruction, as well as right breast augmentation/lift and abdominoplasty/liposuction (multiple surgeries).
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