Breast Reconstruction after Mastectomy

Deleyed Recnstruction of one Brest which was removed because of Breast Cancer treatment (mastectomy)

Breast Reconstruction with own living tissue from abdomen

Microsurgical DIEP and TRAM flaps

Blood supply to lower abdomen by Deep Inferior Epigastric Artery and it´s perforators (DIEP)

3 generations of abodminal flaps for breast reconstruction a) pedicle TRAM b) free TRAM c) DIEP

Unilateral Breast Reconstruction with DIEP

Nipple reconstruction using wrap around flap technique (dr.CR Hartrampf). Areola is recontructed later with tattooing

Bilateral Breast Reconstruction with two DIEP flaps

Surgical Prevention of Breast Cancer in women with hereditary risk for Breast Cancer (BRCA1,2 positive patients) This procedure includes bilateral prophlactic breast removal and immediate reconstruction with two DIEP flaps or implants

BRCA positive, healthy woman

Mastectomy can be performed different ways

Both side mastectomy

pictures are altered for ethical reasons

DIEP flap

DIEP flap – Skin and fat with supplying vesels Flap is transfered to chest, vesels are connected under the microscope with recipient vessels in the chest and flap is shaped into the shape of missing breast