Case of the Month – December 2009

The patient had a left mastectomy for cancer.  She neither desired nor required any treatment to the right breast.  On the right, she had a moderate sized breast with mild ptosis (droop).  She had some abdominal fat without being obese, had no abdominal scars, and was otherwise healthy.  She was therefore a good candidate for a unilateral TRAM flap for breast reconstruction.  The flap was transferred without any perioperative problems and then allowed to mature for 3 months.  At that time, she returned to the operating room to have the volume and fullness tailored with liposuction to better match the right side, and to have a nipple reconstructed.

Pre Op
Pre Op
Post TRAM
Post TRAM
Post tailoring and nipple reconstruction
Post tailoring and nipple reconstruction

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