Patient 13 SIEA & DIEP

These photographs show the stages of reconstruction in a woman with breast cancer and history of multiple surgeries to the abdomen. She wanted to use her abdomen to reconstruct her breasts, but it was not clear if she was a candidate for DIEP flap due to the many previous surgeries to the right abdomen. The patient 's goal was natural breasts about the same size.

Below is the preoperative photograph.

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MRA showed that she was a candidate for DIEP Flap using the left side of her abdomen, but not a candidate for DIEP flap using the right side of the abdomen because the vessel anatomy was disrupted. However, the MRA showed she was a candidate for a different vessel SIEA Flap using the right side of the abdomen. Below is a photograph of the woman after mastectomy and immediate reconstruction.

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With the flatter abdomen and new healthy lifestyle, the woman opted for smaller breast size. Below is a photograph of the woman after breast reductions with nipple reconstructions.

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Below is a photograph immediately after the tattooing. The redness of the tattooing will subside in 2 days.

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