50 year-old woman who had bilateral mastectomies with bilateral immediate reconstruction with DIEP flaps. Her left flap failed, and she was left with a large open wound in the chest that was eventually covered with a flap from her back (latissimus dorsi). She presented with persistent inflammation over the left chest that was covered with a patch-like flap. The DIEP flap in the right breast survived but lacked the definition needed to look like a breast.
3 BRAVA + AFT procedures we gave her a D cup, sensate, and soft left breast. We also performed a RAFT to improve the contour and the natural folds of both breasts.
48 year-old woman who failed her right TRAM flap breast reconstruction. She had multiple debridement procedures before coming to see us with her wound still inflamed.
3 BRAVA +AFT procedures, we softened the scars and restored her right breast. To give her a matching D cup would have required another BRAVA + AFT session, but she was already satisfied and decided to stop at that stage
Forty-nine-year-old woman with bilateral mastectomies reconstructed with bilateral TRAM flaps. The flaps failed to give her the needed projection, and her plastic surgeon had inserted large implants under the flaps. She presented with implant swelling up to her neck. She had pain and discomfort, the reconstruction felt foreign, cold, and hard, and they did not look or feel like breasts. We planned to remove the 600 mL implants, replace them with 300 mL implants, advance the abdominal tissue up into the breast as a RAFT procedure to enlarge the recipient scaffold, and help define her inframammary breast fold.
Six months later, her breasts felt and looked more natural since they had more of her tissues and less silicone. The overall body contour improved with this single outpatient procedure. She was satisfied with the improvement, but we could have performed another fat grafting session to make her completely implant free and give her even more natural breasts.
30 year-old woman with a failed implant and a failed back flap (latissimus dorsi) right breast reconstruction.
3 BRAVA + AFT sessions and extensive Rigottomies, we were able to restore fullness under the scar and iron out the folds of the back flap skin patch. The patch was no longer needed as BRAVA had regenerated all the skin she needed to have a nice breast. Along the way we improved her left breast augmentation by removing her large, deforming breast implant and replacing it with a smaller one. By adding some fat into the laxity created by that downsizing, we gave a more natural look to her left cosmetic augmentation. Note that even in the skinniest of women, we can find enough fat to reconstruct the breasts.
Near normal breast symmetry restored after removing the extra patch of skin from the back flap.
Fifty-three-year-old woman who had bilateral mastectomies and bilateral immediate reconstruction with S-GAP microvascular flaps harvested from both buttocks. Both flaps unfortunately failed and she was left without breasts, with scars on her chest, and a deformity of the buttocks
After 3 BRAVA + AFT sessions, she not only regenerated both her breasts but also got back her buttocks and lost her saddle bags.
She learned about BRAVA + AFT and traveled to Miami for a consultation. She was an excellent candidate: compliant with the BRAVA wear and with plenty of fat to spare in her thighs.