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TRAM Flap
The TRAM Flap procedure is not offered at the Center for Restorative Breast Surgery. More advanced techniques now allow for use of the same tummy fat to create a new breast without destroying the abdomen’s muscles or implanting artificial mesh. Pioneering work at our Center has resulted in the development of sophisticated microsurgical techniques that make the TRAM flap obsolete as a choice for breast reconstruction at the Center for Restorative Breast Surgery.

Latissimus Flap
The Latissimus Flap procedure creates an incision across the back and moves the large “rowing muscle” from the back to the breast. This muscle is thin so an implant must usually be placed under it to form the new breast’s projection and shape. The sacrifice of this muscle causes some shoulder weakness and the scar placement is considered unappealing. The Latissimus Flap is not offered as a first line choice for breast reconstruction at the Center For Restorative Breast Surgery.

Dr. Frank DellaCroce, Dr. Scott Sullivan and Dr. Christopher Trahan at the Center for Restorative Breast Surgery are international leaders in breast cancer reconstruction surgery options, pioneering groundbreaking procedures including:

They have performed over 4000 Breast Reconstruction procedures on women facing breast cancer.

Procedures

DIEP-I

DIEP-I

DIEP I
49 year old with positive BRCA gene test. She sought advice before undergoing bilateral preventive (“prophylactic”)

Procedure: Before (left) and after (right) bilateral prophylactic nipple sparing mastectomy and DIEP I Flap procedure to restore her breast volume and shape.

DIEP I
59 year old seeking reconstructive options after having undergone bilateral mastectomy in the past.

Procedure: Before and after bilateral DIEP I Flap reconstruction of her breasts and subsequent nipple reconstruction.

DIEP I
51 year old seeking reconstructive options after having undergone bilateral mastectomy in the past.

Procedure: Before and after bilateral DIEP I Flap reconstruction of her breasts and subsequent nipple reconstruction.

DIEP I
61 year old diagnosed with left invasive breast cancer. She sought advice regarding her reconstructive options before proceeding with bilateral mastectomy.

Procedure: Before (left) and after (right) bilateral skin sparing mastectomy with DIEP I Flap reconstruction of her breasts and subsequent bilateral nipple reconstruction.

DIEP I
54 year old with invasive breast cancer on right and early stage breast cancer (“DCIS”) on left. She sought consultation before undergoing bilateral mastectomy.

Procedure: Before (left) and after (right) undergoing bilateral skin sparing mastectomy and DIEP I Flap reconstruction. Shown after completed bilateral nipple reconstruction.

DIEP I
46 year old with early stage left breast cancer (“DCIS”). She sought advice before undergoing mastectomy for her cancer and preventive (“prophylactic”) mastectomy on opposite right breast.

Procedure: Before (left) and after (right) bilateral skin sparing mastectomy, DIEP I Flap procedure and bilateral nipple reconstruction.

DIEP I
46 year old with a strong family history of breast cancer who sought advice before undergoing bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer.

Procedure: Before (left) and after (right) bilateral prophylactic nipple sparing mastectomy with DIEP I Flap procedure for restoration of breast volume and shape.

DIEP I
54 year old diagnosed with left invasive lobular carcinoma. She sought advice before undergoing bilateral mastectomy.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy and DIEP I Flap reconstruction of her breasts.

DIEP I
39 year old with positive BRCA gene test. She sought advice before undergoing bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer.

Procedure: Before (left) and after (right) bilateral prophylactic skin sparing mastectomy with DIEP I Flap reconstruction. Shown following bilateral nipple reconstruction.

DIEP I
55 year old with a strong family history of breast cancer and recent biopsy for atypical ductal hyperplasia. She sought advice before bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy and DIEP I Flap reconstruction of her breasts.

DIEP I
56 year old seeking reconstruction after having undergone previous mastectomy.

Procedure: Before and after DIEP I Flap reconstruction of her left breast and right breast reduction for symmetry.

DIEP I
51 year old with right early stage breast cancer (“DCIS”) and positive BRCA gene test. She sought consultation before bilateral mastectomy.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy and DIEP I Flap reconstruction of her breasts.

DIEP II

DIEP II

DIEP II
64 year old diagnosed with invasive ductal cancer right breast and positive BRCA gene test.

Procedure: Before (left) and after (right) bilateral Nipple Sparing Mastectomy with DIEP II Flap volume restoration.

DIEP II
51 year old seeking reconstruction after having undergone previous mastectomy.

Procedure: Her tummy’s fat deposits were used to restore her right breast using a DIEP II Flap procedure to enhance softness in the breast and fully protect the tummy musculature.

DIEP II
54 year old diagnosed with early stage cancer in her left breast (“DCIS”). She sought advice regarding her reconstructive options before undergoing bilateral mastectomy.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy and DIEP II Flap reconstruction of her breasts to add softness and fully protect the tummy musculature.

Stacked Flap

Stacked Flap
51 year old seeking reconstruction after having undergone previous mastectomy.

Procedure: Her tummy’s fat deposits were used to restore her right breast using a DIEP II Flap procedure to enhance softness in the breast and fully protect the tummy musculature.

Stacked Flap
42 year old diagnosed with invasive ductal carcinoma left breast.

Procedure: Her tummy’s fatty deposits were too thin for a standard DIEP Flap procedure. A Stacked DIEP Flap procedure was selected to restore her volume and projection at time of skin sparing left mastectomy. Before (left) and after (right) with completed nipple reconstruction and right breast lift for balance.

Stacked Flap
41 year old who sought advice regarding her reconstruction after having undergone right mastectomy at an outside institution with subsequent positive BRCA gene test.

Procedure: Before (left) and after (right) BRCA risk reduction (“prophylactic”) mastectomy on left and implant reconstruction with Stacked DIEP Flap procedure for restoration of the right breast.

Stacked Flap
41 year old diagnosed with early stage cancer in her left breast (“DCIS”). She sought advice regarding her reconstructive options before undergoing mastectomy.

Procedure: Her tummy’s fatty deposits were too thin for a standard DIEP Flap procedure. A Stacked DIEP Flap procedure was selected to restore her volume and projection at time of skin sparing left mastectomy. Before (left) and after (right) with completed nipple reconstruction and right breast lift for balance.

Stacked Flap
54 year old who sought advice after undergoing unsuccessful lumpectomy for right breast cancer.

Procedure: Her tummy’s fatty deposits were too thin for a standard DIEP Flap procedure. A Stacked DIEP Flap procedure was selected to restore her volume and projection at time of right Nipple Sparing mastectomy. Before (left) and after (right) with left breast lift for balance.

Stacked Flap
59 year old who sought advice after undergoing right mastectomy.

Procedure: Her tummy’s fatty deposits were too thin for a standard DIEP Flap procedure. A Stacked DIEP Flap procedure was selected to restore her volume and projection. Before (left) and after (right) with completed nipple reconstruction.

Stacked Flap
55 year old sought advice regarding her reconstructive options after right mastectomy.

Procedure: Her tummy’s fatty deposits were too thin for a standard DIEP Flap procedure. A Stacked DIEP Flap procedure was selected to restore her volume and projection. Before (left) and after (right) with completed nipple reconstruction and left breast augmentation for symmetry.

BODY LIFT Flap

BODY LIFT Flap
54 year old diagnosed with left early stage breast cancer (“DCIS”). She sought advice before undergoing bilateral mastectomy

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy. Her tummy and hip fat layers were too thin for either a DIEP or Hip flap. A BODY LIFT Flap procedure was performed layering both a DIEP and a Hip flap into each breast reconstruction site to restore volume and projection.

BODY LIFT Flap
60 year old after 2 attempts at lumpectomy in left breast for early stage breast cancer. She sought advice before undergoing mastectomy for her cancer on left and preventive (“prophylactic”) mastectomy on right.

Procedure: Her fatty deposits were too thin for either a DIEP or Hip flap. A BODY LIFT Flap procedure, layering both a DIEP and a Hip flap into each breast was performed at time of bilateral nipple sparing mastectomy to restore volume and projection. Before (left) and after (right).

BODY LIFT Flap
50 year old with a strong family history of breast cancer. She sought advice regarding reconstruction before undergoing bilateral preventive (“prophylactic”) mastectomy.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy. Her tummy and hip fat layers were too thin for either a DIEP or Hip flap. A BodyLift Flap procedure was performed layering both a DIEP and a Hip flap into each breast reconstruction site to restore volume and projection.

BODY LIFT Flap
59 year old diagnosed with right breast cancer. She sought advice before undergoing bilateral mastectomy.

Procedure: Her fatty deposits were too thin for either a DIEP or hip flap. The BodyLift Flap procedure was selected for her to restore her breast volume and projection at the time of bilateral skin sparing mastectomy. Before (left) and after (right).

Hip Flap

Hip Flap

Hip Flap
57 year old who sought advice for correction of deformities resulting from a failed DIEP Flap procedure at an outside institution.

Procedure: Before (left) and after (right) gluteal perforator Hip Flap correction of her right breast deformity and revision of her left DIEP flap reconstruction. Shown following bilateral nipple reconstruction.

Hip Flap
60 year old who sought advice regarding her reconstruction after having undergone bilateral mastectomy at an outside institution.

Procedure: Before (left) and after (right) bilateral gluteal perforator Hip Flap procedure.

Hip Flap
51 year old sought advice regarding her reconstructive options after bilateral mastectomy.

Procedure: Before (left) and after (right) bilateral gluteal perforator Hip Flap reconstruction of her breasts. Shown following bilateral nipple reconstruction.

Hip Flap
46 year old who underwent bilateral nipple sparing mastectomy and multiple attempts at implant reconstruction at an outside institution. She sought advice regarding correction of chronic discomfort associated with the implants.

Procedure: Before (left) and after (right) bilateral implant removal and corrective reconstruction with gluteal perforator Hip Flap procedure.

Hip Flap
51 year old diagnosed with right breast cancer. She sought advice before undergoing bilateral mastectomy.

Procedure: Her tummy’s fatty deposits were too thin for a DIEP Flap procedure. Before (left) and after (right) bilateral skin sparing mastectomy and immediate gluteal perforator Hip Flap breast reconstruction.

Hip Flap
61 year old diagnosed with left breast cancer. She sought advice before undergoing mastectomy for her cancer on left and preventive (“prophylactic”) mastectomy on right.

Procedure: Her tummy’s fatty deposits were too thin for a DIEP Flap procedure to restore her breast volume. Before (left) and after (right) bilateral skin sparing mastectomy and immediate gluteal perforator Hip Flap breast reconstruction. Shown after completed bilateral nipple reconstruction.

Redo

Redo

Corrective
52 year old after DIEP procedure performed on West Coast. She sought advice for correction of her surgical outcome.

Procedure: Before (left) and after (right) corrective (redo) DIEP Flap reconstruction bilateral breasts.

Corrective
42 year old who sought advice after undergoing 5 outside attempts at implant reconstruction following bilateral skin sparing mastectomy.

Procedure: Before (left) and after (right) bilateral DIEP I Flap correction of her deformity.

Corrective
64 year old who sought advice regarding corrective surgery after developing capsular contracture (tightening and distortion) in her implant reconstructed left breast.

Procedure: Before (left) and after (right) DIEP I Flap correction of her failed implant reconstruction. Shown following bilateral nipple reconstruction.

Corrective
73 year old who sought advice for correction of deformities left after having undergone bilateral mastectomy and implant reconstruction at an outside institution.

Procedure: Before (left) and after (right) bilateral implant removal and DIEP I Flap procedure correction of her breast deformity.

Corrective
57 year old who sought advice for correction of deformities resulting from a failed DIEP Flap procedure at an outside institution.

Procedure: Before (left) and after (right) gluteal perforator Hip Flap correction of her right breast deformity and revision of her left DIEP flap reconstruction. Shown following bilateral nipple reconstruction.

Corrective
50 year old who sought advice for correction of her breast deformity after having undergone left mastectomy and implant reconstruction at an outside institution.

Procedure: Before (left) and after (right) DIEP I Flap procedure for correction of her left breast deformity. She elected to undergo right preventive (prophylactic) mastectomy and DIEP Flap reconstruction of her right breast as well. Shown after completed bilateral nipple reconstruction.

Corrective
59 year old who sought advice regarding correction of deformity resulting from right mastectomy and implant reconstruction performed at an outside institution.

Procedure: Before (left) and after (right) Stacked DIEP Flap correction of her right breast deformity.

Corrective
56 year old who underwent multiple procedures after bilateral mastectomy and failed implant reconstruction at an outside institution. She sought advice regarding options for correction of her resulting deformities.

Procedure: The BodyLift Flap procedure was selected to correct her deformities and replace the remaining implant on the left side. Shown before (left) and after (right) with completed bilateral nipple reconstruction.

Lumpectomy Repair

Lumpectomy Repair

Lumpectomy Repair
60 year old after right lumpectomy for invasive breast cancer who sought advice for correction of her defect.

Procedure: Before (left) and after (right) DIEP I Flap correction of her lumpectomy defect and preventive (“prophylactic”) mastectomy on left breast with DIEP I Flap reconstruction.

Lumpectomy Repair
53 year old who underwent left lumpectomy for early stage breast cancer at an outside institution. She sought advice regarding correction of the remaining deformity.

Procedure: Before (left) and after (right) DIEP I Flap correction of her lumpectomy defect.

Nipple Sparing

Nipple Sparing
54 year old diagnosed with early stage cancer in her left breast (“DCIS”). She sought advice regarding her reconstructive options before undergoing mastectomy for her cancer on left and preventive (“prophylactic”) mastectomy on right.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy and DIEP II Flap reconstruction of her breasts to add softness and fully protect the tummy musculature.

Nipple Sparing
54 year old diagnosed with left early stage breast cancer (“DCIS”). She sought advice before undergoing bilateral mastectomy

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy. Her tummy and hip fat layers were too thin for either a DIEP or Hip flap. A BodyLift Flap procedure was performed layering both a DIEP and a Hip flap into each breast reconstruction site to restore volume and projection.

Nipple Sparing
60 year old after 2 attempts at lumpectomy in left breast for early stage breast cancer. She sought advice before undergoing mastectomy for her cancer on left and preventive (“prophylactic”) mastectomy on right.

Procedure: Her fatty deposits were too thin for either a DIEP or Hip flap. A BodyLift Flap procedure, layering both a DIEP and a Hip flap into each breast was performed at time of bilateral nipple sparing mastectomy to restore volume and projection. Before (left) and after (right).

Nipple Sparing
46 year old with a strong family history of breast cancer who sought advice before undergoing bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer.

Procedure: Before (left) and after (right) bilateral prophylactic nipple sparing mastectomy with DIEP I Flap procedure for restoration of breast volume and shape.

Nipple Sparing
54 year old diagnosed with left invasive lobular carcinoma. She sought advice before undergoing bilateral mastectomy.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy and DIEP I Flap reconstruction of her breasts.

Nipple Sparing
55 year old with a strong family history of breast cancer and recent biopsy for atypical ductal hyperplasia. She sought advice before bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy and DIEP I Flap reconstruction of her breasts.

Poland's Reconstruction

Poland's Reconstruction

Poland's Reconstruction
53 year old with Poland Syndrome deformity right breast and previous mastectomy on left. She sought consultation for reconstruction on left and correction of the developmental deformity on her right side.

Procedure: Before (left) and after (right) DIEP Flap correction of her right breast Poland Syndrome and Stacked DIEP Flap restoration of her left breast.

Poland's Reconstruction
48 year old with Poland Syndrome deformity right breast. She sought advice for correction of her deformity and improvement of her symmetry.

Procedure: Before (left) and after (right) DIEP I Flap procedure for correction of her right breast deformity and left breast lift for symmetry.

One Step Implant Reconstruction

One Step Implant Reconstruction

One Step Implant Reconstruction
41 year old who sought advice regarding her reconstruction after having undergone right mastectomy at an outside institution with subsequent positive BRCA gene test.

Procedure: Before (left) and after (right) BRCA risk reduction (“prophylactic”) mastectomy on left and implant reconstruction with Stacked DIEP Flap procedure for restoration of the right breast.

One Step Implant Reconstruction
41 year old diagnosed with Paget’s disease left breast. She sought advice regarding her reconstructive options before undergoing left mastectomy.

Procedure: She chose immediate implant reconstruction after discussion of her options. She is shown before (left) and after (right) left mastectomy and immediate implant reconstruction with completed nipple reconstruction and right breast lift/augmentation.

One Step Implant Reconstruction
37 year old diagnosed with right breast cancer. She sought advice before undergoing bilateral mastectomy.

Procedure: She chose immediate implant reconstruction after discussion of her options. She is shown before (left) and after (right) left mastectomy and immediate implant reconstruction with completed nipple reconstruction.

BRCA Reconstruction

BRCA Reconstruction

BRCA Reconstruction
49 year old with positive BRCA gene test. She sought advice before undergoing bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer.

Procedure: Before (left) and after (right) bilateral prophylactic nipple sparing mastectomy and DIEP I Flap procedure to restore her breast volume and shape.

BRCA Reconstruction
64 year old diagnosed with invasive ductal cancer right breast and positive BRCA gene test.

Procedure: Before (left) and after (right) bilateral Nipple Sparing Mastectomy with DIEP II Flap volume restoration.

BRCA Reconstruction
46 year old with positive BRCA gene test. She sought advice before undergoing bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer in the future.

Procedure: Before (left) and after (right) bilateral prophylactic skin sparing mastectomy with DIEP I Flap reconstruction. Shown following bilateral nipple reconstruction.

BRCA Reconstruction
55 year old with positive BRCA gene test. She sought advice before undergoing bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer.

Procedure: Before (left) and after (right) bilateral prophylactic Nipple Sparing mastectomy with DIEP I Flap reconstruction.

BRCA Reconstruction
39 year old with positive BRCA gene test. She sought advice before undergoing bilateral preventive (“prophylactic”) mastectomy to reduce her chance of developing breast cancer.

Procedure: Before (left) and after (right) bilateral prophylactic skin sparing mastectomy with DIEP I Flap reconstruction. Shown following bilateral nipple reconstruction.

BRCA Reconstruction
51 year old with right early stage breast cancer (“DCIS”) and positive BRCA gene test. She sought consultation before bilateral mastectomy.

Procedure: Before (left) and after (right) bilateral nipple sparing mastectomy and DIEP I Flap reconstruction of her breasts.

“I feel my life and body
have been restored”

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