67 year old who was about to undergo bilateral mastectomies for breast cancer. She underwent inmediate breast reconstruction with two TRAM flaps harvested and set in place at the same time as the mastectomies. Photo is before and 6 months after. She was happy with the results and did not want the usually done second stage to further give shape and lift the breast.

Inmediate reconstruction in two stages for a 35 year old with left breast cancer. During the first stage the TRAM flap was brought up from the abdomen. In the second stage, after she finished chemotherapy, the nipple and areola were reconstrcuted and bilateral smal silicone implants were added for further volume. Photos are before and 7 months after final stage.

28 year old with a tumor on the left chest wall who required  two flasp one from the back and one from the abdomen for reconstruction.

40 year old with breast cancer on the right side. Before and 6 months after breast reconstruction with a TRAM flap. She was not interested in nipple reconstruction.

Delayed Reconstruction. 54 year old before and 6months after right breast reconstruction. She was not interested in nipple or areola reconstruction.

Inmediate right breast recontruction with TRAM flap. At a second stage the nipple and areola were also reconstructed and a breastlift was done on the right side for balance and symmetry. Photos are before and 3 months after the final stage.

Inmediate left brest reconstrction with a right pedicled TRAM flap. At a second stage 3 months after the nipple and areola were also reconstruction and a right breastlift (mastopexy) was done for balance and symmetry. The photos are before and 7 months after the final stage.

Delayed TRAM flap reconstruction of the right breast with nipple and areola reconstruction and breastlift on the contralateral normal left side. Photos are before and 6 months after the final stage.

Delayed reconstruction. She had prior bilateral sucutaneous mastectomies. Reconstructed with bilateral free TRAM flaps done in two stages; First the flaps were brought up from the abdomen and three months later the extra skin and volume was reduced for symmetry and shape. Photos are before and 6 months after the final stage.

52 year old with prior left mastectomy who underwent right mastectomy and inmediate bilateral TRAM reconstructions. In a second stage she requested reconstruction of the nipple only, she was not interested in areola reconstruction.