- Breast
Patient 1
Almost 6 years after her bilateral immediate prepectoral breast reconstruction at the time of nipple sparing mastectomies! I dare to say she looks even better after her cancer surgery!
Patient 2
This woman underwent bilateral mastectomy and immediate reconstruction with prepectoral gel implants. She is photographed 5.5 years after her surgery.
Patient 3
This young woman underwent bilateral mastectomy with immediate reconstruction with prepectoral 445cc moderate projection gel implants and Alloderm. She underwent a second surgery which included fat transfer from the abdomen to her breasts to soften her look. She is photographed almost 3 years after her mastectomy and 8 months after her fat transfer, 200cc/side. She loves her outcome!
Patient 4
This woman underwent bilateral nipple sparing mastectomy. She desired in the end to have larger fuller breasts. We therefore initially reconstructed her at the time of mastectomy with tissue expanders to get her to her goal size. After that she returned to the Operating Room to exchange the expanders to implants. She is very happy with her new breast appearance.
Patient 5
This woman underwent bilateral nipple sparing mastectomy with immediate reconstruction with shaped implants, under pectoralis. She is photographed 14 months after her cancer surgery.
Patient 6
This woman presented after lumpectomy and radiation therapy, with lack of resolution with fat transfer and alloderm. She underwent latissimus flap reconstruction of the breast. The breast is more symmetric and the back scar is quite acceptable. She is photographed 2.5 years postoperatively.
Patient 7
This young woman required nipple sparing left mastectomy and she was immediately reconstructed with gel implant. In a second stage she underwent exchange to a larger implant and placement of a breast implant in the right breast. She is photographed 10 months later, and is very happy with her outcome.
Patient 8
This woman underwent bilateral nipple sparing mastectomy and immediate implant reconstruction. She had to have chemotherapy after her surgery. She did very well and has beautiful results over a year out.
Patient 9
This young woman underwent bilateral nipple-sparing mastectomy with staged expander to implant reconstruction, partly because she wanted her breasts to be larger after her reconstruction. She is photographed 15 months after her mastectomy treatment.
Patient 10
This woman underwent right-sided nipple sparing mastectomy performed through an incision under the breast. She had 2 stage reconstruction, first with expander, then gel implant. She is photographed 9 months after her preoperative photos were taken. Postoperative photos and preoperative photos are so similar in appearance!
Patient 11
This woman underwent bilateral nipple-sparing mastectomies through incisions in the breast fold with immediate shaped gel implant reconstruction. She had some enhancement with fat grafting from the abdomen as a seondary surgery. Her postoperative photos demonstrate beautiful results.
Patient 12
This woman in her 50's presented 9 years after inital breast augmentation with saline implants, who sustained spontaneous deflation of the left implant. She desired implant exchange to silicone and a bit of a larger size. On preoperative evaluation she was found to have a concerning mammogram. She was diagnosed with early breast cancer of the right breast, close to her nipple. She therefore underwent right mastectomy, and immediate reconstruction with latissimus back tissue and implant. At that time the left deflated saline implant was removed and replaced with a larger silicone implant. She ultimately underwent right sided nipple reconstruction. She is photographed 14 months after her initial surgery. She has done great and loves her aesthetic outcome!
Patient 13
This 30 year old woman, breast cancer gene positive, opted to have bilateral mastectomy with immediate reconstruction with implants. She also had Alloderm placed bilaterally. She has a hidden incision under her breast, and her nipples were spared. She is photographed 7 months after her surgery.
Patient 14
This very young woman required partial mastectomy of the right breast. This was reconstructed with fat transfer and breast implant, with implant placed on the opposite side for match. She is very happy to be done with the breast oncologic treatment, as well as her cosmetic results.
Patient 15
This woman underwent bilateral nipple sparing mastectomy and gel implant reconstruction. She is photographed 3 years postoperatively.
Patient 16
This woman had left-sided breast cancer. She underwent lumpectomy combined with breast reduction, with reduction of the right breast to match. She then had to undergo radiation therapy of the left side. She is photographed 19 months after breast surgery.
Patient 17
Initially with tissue expander under muscle, which was converted to a gel implant under muscle. She required right sided radiation therapy after this. She is photographed over 2 years after her first operation. She is doing great!
Patient 18
This lovely woman underwent bilateral nipple sparing mastectomies and was initially reconstructed with implants under her pectoralis muscles. She was suffering from painful movement of her muscle over her implants and elected to have her implants moved above her muscles. She is photographed 1 year later.
Patient 19
This woman underwent bilateral nipple sparing mastectomies with immediate reconstruction with 385 cc implants, in front of pectoralis muscles. She is photographed 4 months after her surgery, doing great!
Patient 20
This woman presented for mastectomy of the right breast for cancer diagnosis. She had a subglandular gel implant placed in the past for cosmetic augmentation, and the implant was ruptured and encapsulated. She underwent nipple sparing mastectomy with removal of the degraded implant and scar tissue, and she had a new gel implant placed under her muscle, to match the left side. She did not desire any surgery on her left breast. She is photographed 7 months after her surgery with no revisions. She does not desire any further surgery.
Patient 21
This young woman with breast cancer underwent bilateral nipple sparing mastectomies with immediate reconstruction with silicone gel implants under the muscle. She is photographed 8 months after her surgery, post chemotherapy after her surgery, without any complications or revisions. She looks amazing and feels great!
Patient 22
This woman underwent left nipple sparing mastectomy, reconstructed initially with tissue expander and then followed by delayed pedicled TRAM (abdominal tissue) flap. Photographs are taken 17 months post mastectomy surgery.
Patient 23
This woman underwent left nipple sparing mastectomy, reconstructed initially with tissue expander and then followed by delayed pedicled TRAM (abdominal tissue) flap. Photographs are taken 17 months post mastectomy surgery.
Patient 24
This woman underwent left sided nipple sparing mastectomy and immediate reconstruction with an implant larger than her baseline breast volume, opting for a larger breast to treat her deflation. In a second stage a round gel implant was placed under her pec muscle of her opposite chest to match. She is photographed 18 months after her first procedure.
Patient 25
his woman underwent nipple sparing right sided mastectomy, with later stage opposite breastlift and fat transfer to the right breast. She is photographed 1 year after her cancer surgery.
Patient 26
This woman underwent breast conservation surgery of the right breast with lumpectomy and radiation therapy, leaving her with fibrotic right breast and signficant asymmetry with left breast. She underwent a left breastlift and a right breast fat transfer from the abdomen. The fat transfer not only improved the fullness of the right breast but also increased its softness and decreased fibrosis. The symmetry is also much better.
Patient 27
This woman underwent bilateral nipple sparing mastectomy and immediate reconstruction with implants. She is photographed 9 months after surgery.
Patient 28
This young woman prior to mastectomy had significant congenital breast mismatch. She required bilateral mastectomy. She underwent immediate implant reconstruction on the right and expander on the left to help achieve a better footprint to the breast. She later had gel implant placed on the left with downsize of the right breast implant. She is so happy with her results, better than ever after combatting breast cancer.
Patient 29
This woman underwent left mastectomy and immediate reconstruction with shaped 370cc gel implant. She later underwent nipple reconstruction on the left side as well as contouring procedures with fat transfer, and a lift of the right breast to match the left. She is photographed over 1.5 years since prior to her mastectomy. She is doing great and is very happy with her appearance.
Patient 30
This young woman underwent bilateral nipple-sparing mastectomy with immediate implant reconstruction. She had shaped anatomic gel implants placed. She is photographed 7 months after her surgery.
Patient 31
This woman had a left-sided breast cancer requiring lumpectomy and oncoplastic reconstruction leading to a breast reduction. She underwent postoperative radiation therapy on the left breast after surgery. She had a breast reduction on the right side to match. She is photographed 13 months postoperatively. She is doing great!
Patient 32
This young woman underwent bilateral nipple sparing mastectomies with immediate gel implant reconstruction. She aimed to "go bigger." She has done extremely well with her surgery.
Patient 33
This woman in her 60's underwent bilateral nipple-sparing mastectomy and was reconstructed immediately with shaped silicone gel implants. She is photographed 15 months after mastectomy and is doing great!
Patient 34
This young woman had a right breast cancer, for which she underwent mastectomy and immediate reconstruction with round gel implant above her pectoralis muscle. Second stage surgery included a left breast lift with some fat transferred to each breast from her abdomen. She is photographed 10 months after her orginal surgery.
Patient 35
This is a woman in her 60's who underwent traditional mastectomy on the left side, with removal of nipple areolar complex. She was reconstructed with immediate 20 cc shaped gel implant. She ultimately underwent nipple reconstruction on the left and lift on the right to match. She is photographed over a year after her initial presentation. She is thrilled with the results.
Patient 36
This woman in her 30's was diagnosed with breast cancer and underwent preoperative chemotherapy, followed by bilateral nipple sparing mastectomies with immediate implant reconstruction. She has done well and is thrilled with her reconstruction.
Patient 37
This woman underwent bilateral nipple sparing mastectomy and expander to implant reconstruction. She is very happy with her aesthetic outcome and is back to life "full on" 6 months later.
Patient 38
This is a young woman gene positive for breast cancer who underwent bilateral nipple-sparing mastectomy immediately reconstructed with shaped gel implants. She is photographed here 2.5 months after her surgery.
Patient 39
This is a woman in her 70's with prior history of left breast radiation who underwent bilateral mastectomy and expander to implant reconstruction, with fat grafting on the left side to reverse some of the radiation tightness. 14 months passed between the pre- and postoperative photos.
Patient 40
This woman underwent a total left-sided mastectomy including removal of the nipple-areolar complex. She had immediate breast reconstruction with a tissue expander which was exchanged to a silicone gel implant. She did not desire nipple reconstruction.
Patient 41
This woman in her 60's had a history of lumpectomy and radiation treatment of her right breast who had to undergo completion right mastectomy for recurrence. She underwent a latissimus flap/implant/nipple reconstruction and left-sided breastlift. She is photographed 13 months after her mastectomy.
Patient 42
his woman in her 60's was diagnosed with left breast cancer, requiring removal of the breast mass in the upper outer pole. She underwent oncoplastic reconstruction, tailoring a breast lift into a breast reconstruction for the left breast. She had a more standard breastlift on the right. She actually later underwent radiation therapy of the left breast. She is photographed about 9 months after her surgical procedure.
Patient 43
This lovely young woman saw me for revision of a reconstruction. Her right breast had radiation therapy and was tight and uncomfortable. Her left breast augmentation lift to match the right did not match, and it was too large for her frame. I reduced the left side and revised the right side, adding in a fat transfer. She is photographed 15 months out and is very happy with her outcome.
Patient 44
This woman in her 50's had prior history of lumpectomy and radiation on the left side. She had a recurrence on the left side, leading to the necessity for left total mastectomy. She opted for right-sided prophylactic mastectomy. She underwent bilateral mastectomy, sparing the nipple on the right. She was reconstructed with expander on the right and latissimus flap from the back with expander on the left. She later underwent left nipple reconstruction with tattoo and bilateral silicone implant exchanges for the expanders.
Patient 45
This model in her 40's underwent nipple-sparing mastectomy on the left side with immediate implant reconstruction. Nothing was done on the right breast. She is photographed 10 months later. Patient Age: 40
Patient 46
This 66-year-old woman had saline implant right-sided breast reconstruction performed about 10 years prior, with deflation of the implant, and resultant significant asymmetry. She opted for silicone implant replacement.
Patient 47
This is a 46-year-old woman who was diagnosed with left-sided breast cancer. She had modified radical mastectomy performed, followed by immediate pedicled TRAM flap reconstruction with opposite breast reduction.
Patient 48
This 55 year old woman had pedicled TRAM flap (abdominal tissue) delayed reconstruction performed on her right breast, with nipple reconstruction. She had chemotherapy, but no radiation, associated with her mastectomy.
Patient 49
This woman in her 60’s opted for immediate right-sided breast reconstruction with pedicled TRAM (abdominal tissue) flap at the time of mastectomy. She did not desire breastlift at that time.
Patient 50
This is a 54-year-old woman who had left-sided lumpectomy and postoperative chemotherapy for breast cancer. She had delayed reconstruction with Mentor saline breast implants: 275 cc saline breast implant on the right, and 300 cc breast implant on the left.
Patient 51
This is a woman who was diagnosed with left-sided breast cancer. She opted to have a TRAM flap reconstruction at the time of her nipple sparing mastectomy. She is photographed 2 years after her surgery, doing very well, with very nice results of her breast as well as her abdomen.
Patient 52
This woman underwent left sided mastectomy with expander reconstruction, switched out to implant reconstruction with a nipple flap reconstruction, utlizing skin from the lower abdomen for the areola. She had an opposite implant placement and lift to match and optimize aesthetics. She is thrilled with her outcome.
Patient 53
This young woman had advanced right sided breast cancer requiring mastectomy and implant reconstruction as well as significant radiation (why the breast is so dark) and she required left sided breastlift to match her reconstruction. She is photographed 5 months after the left breast lift, which was augmented with fat to lift and fill. She is very pleased with her results.
Patient 54
This woman underwent bilateral nipple sparing mastectomies and was immediately reconstructed with implants under her pec muscle. She was later converted to above the muscle smooth round gel implants. She looks and feels great!
Patient 55
This woman had bilateral mastectomy and staged reconstruction with tissue expanders converted to gel implants. She also underwent nipple reconstruction. She arguably looks even better after breast cancer! She is thrilled. Postoperative photos are taken 22 months after surgery.
Patient 56
This woman had bilateral mastectomy and staged reconstruction with tissue expanders converted to gel implants. She also underwent nipple reconstruction. She arguably looks even better after breast cancer! She is thrilled. Postoperative photos are taken 22 months after surgery.
Patient 57
This woman had bilateral mastectomy and staged reconstruction with tissue expanders converted to gel implants. She also underwent nipple reconstruction. She arguably looks even better after breast cancer! She is thrilled. Postoperative photos are taken 22 months after surgery.
Patient 58
This woman underwent bilateral nipple sparing mastectomy. She desired in the end to have larger fuller breasts. We therefore initially reconstructed her at the time of mastectomy with tissue expanders to get her to her goal size. After that she returned to the Operating Room to exchange the expanders to implants. She is very happy with her new breast appearance.
Patient 59
This woman underwent a right nipple sparing mastectomy with immediate reconstruction with a smooth round gel implant in the prepectoral position. Access incisions were under the breast and in her underarm. She is photographed 10.5 months after her surgery.
Patient 60
This woman underwent a right nipple sparing mastectomy with immediate reconstruction with a smooth round gel implant in the prepectoral position. Access incisions were under the breast and in her underarm. She is photographed 10.5 months after her surgery.
Patient 61
This woman required bilateral nipple sparing mastectomy with immediate reconstruction above her muscle with smooth round gummy bear silicone gel implants, 450cc. She is photographed 1 year after her surgery. Hard to tell which is "before" and which is "after." She did so well!
Patient 62
This is a woman who presented years after mastectomies with implant reconstruction. She desired improved contour to the chest area. She also figured she would undergo cosmetic abdominal contouring procedure while she was undergoing her reconstruction revision. She was so pleased by the improvement of her whole torso.
Patient 63
This beautiful young woman underwent nipple sparing mastectomy of both breasts 4.5 years ago. She had radiation therapy to her right breast. She was reconstructed first with tissue expanders, then with silicone gel implants and ultimately underwent some fat grafting to smooth her results and counteract the contracture resulting from radiation. She is photographed 9 months since her last procedure, looking amazing and feeling great! She is physically unlimited.
1304 Bellona Avenue Suite 100, Lutherville-Timonium, MD 21093
Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
including Baltimore breast augmentation & liposuction
®Michele Shermak Plastic Surgery. All rights reserved.
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$100 in office consultation fee. If patient decides to go ahead with the treatment, that $100 will be credited towards the procedure
