DIEP Flap Reconstruction following mastectomy

57-year-old female with a diagnosis of right breast cancer. Prior to her consultation she had been getting neoadjuvant chemotherapy after her diagnosis of right breast cancer. Patient was referred to Dr. Koch by her breast oncology surgeon. Patient did have genetic testing prior to her consultation. Patient did have a history of breast cancer in her family, her maternal aunt had breast cancer at age 45. At the time of consultation, we discussed at length regarding her right breast cancer and her options for reconstruction. Patient was planning on a right breast mastectomy. We reviewed her options at consult: 1. No immediate reconstruction after breast mastectomy. Reconstruction can be done at a later time if patient chooses so. 2. Immediate reconstruction of the breast with TE (tissue expander) and alloderm, acellular dermal matrix. 3. Immediate reconstruction of the breast with DIEP flap reconstruction. Patient and we spoke in great detail about these options for an hour during our consultation, and a copy of the pictures, diagrams and our consult note that we have created together were given to patient. After hearing about all of the possible reconstruction options, as well as what to expect, recovery and activity after surgery, patient decided on a right breast reconstruction with DIEP flap. The after photographs shown here are one year following her surgery. Patient is doing very well and is very happy with her breast cancer reconstruction. More

57-year-old female with a diagnosis of right breast cancer. Prior to her consultation she had been getting neoadjuvant chemotherapy after her diagnosis of right breast cancer. Patient was referred to Dr. Koch by her breast oncology surgeon. Patient did have genetic testing prior to her consultation. Patient did have a history of breast cancer in her family, her maternal aunt had breast cancer at age 45. At the time of consultation, we discussed at length regarding her right breast cancer and her options for reconstruction. Patient was planning on a right breast mastectomy. We reviewed her options at consult: 1. No immediate reconstruction after breast mastectomy. Reconstruction can be done at a later time if patient chooses so. 2. Immediate reconstruction of the breast with TE (tissue expander) and alloderm, acellular dermal matrix. 3. Immediate reconstruction of the breast with DIEP flap reconstruction. Patient and we spoke in great detail about these options for an hour during our consultation, and a copy of the pictures, diagrams and our consult note that we have created together were given to patient. After hearing about all of the possible reconstruction options, as well as what to expect, recovery and activity after surgery, patient decided on a right breast reconstruction with DIEP flap. The after photographs shown here are one year following her surgery. Patient is doing very well and is very happy with her breast cancer reconstruction. More

57-year-old female with a diagnosis of right breast cancer. Prior to her consultation she had been getting neoadjuvant chemotherapy after her diagnosis of right breast cancer. Patient was referred to Dr. Koch by her breast oncology surgeon. Patient did have genetic testing prior to her consultation. Patient did have a history of breast cancer in her family, her maternal aunt had breast cancer at age 45. At the time of consultation, we discussed at length regarding her right breast cancer and her options for reconstruction. Patient was planning on a right breast mastectomy. We reviewed her options at consult: 1. No immediate reconstruction after breast mastectomy. Reconstruction can be done at a later time if patient chooses so. 2. Immediate reconstruction of the breast with TE (tissue expander) and alloderm, acellular dermal matrix. 3. Immediate reconstruction of the breast with DIEP flap reconstruction. Patient and we spoke in great detail about these options for an hour during our consultation, and a copy of the pictures, diagrams and our consult note that we have created together were given to patient. After hearing about all of the possible reconstruction options, as well as what to expect, recovery and activity after surgery, patient decided on a right breast reconstruction with DIEP flap. The after photographs shown here are one year following her surgery. Patient is doing very well and is very happy with her breast cancer reconstruction. More