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Topic: Pictures of Breast Reconstruction

Forum: Breast Reconstruction — Is it right for you? Discuss timing and various procedures and techniques.

Posted on: May 19, 2015 01:03PM

Moderators wrote:

We thought it might be helpful for members considering different types of reconstruction to see our page from the main Breastcancer.org site: Pictures of Breast Reconstruction

We hope this helps!

--The Mods

To send a Private Message to the Mods: community.breastcancer.org/mem...
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Jun 11, 2015 09:32AM kmahalick wrote:

Wow, I wished mine looked so good.

Surgery 12/13/2012 Mastectomy: Right; Reconstruction (right): Tissue expander placement Surgery 2/28/2013 Reconstruction (right) Surgery 8/14/2013 Reconstruction (right): Nipple reconstruction Surgery 2/20/2014 Reconstruction (right): Nipple reconstruction Surgery 8/22/2014 Reconstruction (right) Surgery 8/27/2014 Reconstruction (right) Surgery 10/16/2014 Reconstruction (right): Nipple reconstruction Surgery 1/19/2016 Reconstruction (right)
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Aug 9, 2015 01:21AM lisa2012 wrote:

yes, these after photos look good. Mine are flatter and wrinkly on the lower part. Look good in clothes/symmetrical but odd looking in various positions..,

Dx 1/2012, IDC, Left, <1cm, Grade 3, 0/7 nodes, ER+/PR-, HER2- (FISH) Surgery 2/21/2012 Lymph node removal: Left, Right; Mastectomy: Left; Prophylactic mastectomy: Right; Prophylactic ovary removal; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 4/17/2012 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 11/1/2012 Prophylactic ovary removal
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Aug 9, 2015 01:54AM ABeautifulSunset wrote:

I'm with you Lisa. I think the surgeons use their very best outcome cases for their marketing pics. In certain circumstances a good outcome can happen, but a full mx w/ rads.... Not so much.

I would like to see pics that depict a more realistic outcome for a lot of us.

“Sunsets are proof that endings can be beautiful too.” Chemotherapy Gemzar (gemcitabine) Chemotherapy Xeloda (capecitabine) Targeted Therapy Afinitor (everolimus) Targeted Therapy Afinitor (everolimus) Chemotherapy Doxil (doxorubicin) Targeted Therapy Chemotherapy Chemotherapy Chemotherapy Xeloda (capecitabine) Targeted Therapy Radiation Therapy External: Breast, Chest wall, Bone Chemotherapy TAC Targeted Therapy Ibrance (palbociclib) Surgery Mastectomy; Reconstruction (left): Fat grafting, Silicone implant, Tissue expander placement; Reconstruction (right): Fat grafting, Silicone implant, Tissue expander placement Hormonal Therapy Aromasin (exemestane), Faslodex (fulvestrant), Femara (letrozole)
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Aug 9, 2015 03:18PM jojo2373 wrote:

I think I am happy you are showing the best outcomes, but unfortunately my bco sisters do not share such perfect results.

Once you choose hope, anything's possible. ~Christopher Reeve Dx 7/27/2012, IDC, Left, 2cm, Stage IIB, Grade 3, 2/3 nodes, ER+/PR-, HER2- (FISH) Chemotherapy 8/30/2012 AC + T (Taxol) Surgery 1/6/2013 Lumpectomy: Left; Lymph node removal: Left, Sentinel Radiation Therapy 2/3/2013 Whole-breast: Breast, Lymph nodes Hormonal Therapy 4/7/2013 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Aug 12, 2015 08:16AM kmahalick wrote:

It's wonderful for women to hope for a great outcome after hearing a diagnosis which will remove some or all of their body but I think we also need to know that what you are showing is not representative of all cases. I believe we can handle the reality of what reconstruction really looks like for so many of us on this forum. So many are searching for answers as to why they don't look like these outcomes, I was one. I looked at so many sites and felt so betrayed that my reconstruction did not look like the pictures I saw. Please post more from some of your members who have less than optimal results.

Surgery 12/13/2012 Mastectomy: Right; Reconstruction (right): Tissue expander placement Surgery 2/28/2013 Reconstruction (right) Surgery 8/14/2013 Reconstruction (right): Nipple reconstruction Surgery 2/20/2014 Reconstruction (right): Nipple reconstruction Surgery 8/22/2014 Reconstruction (right) Surgery 8/27/2014 Reconstruction (right) Surgery 10/16/2014 Reconstruction (right): Nipple reconstruction Surgery 1/19/2016 Reconstruction (right)
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Aug 14, 2015 04:13PM RosieMjdtrt wrote:

I am 9 days post op. I was hoping this would show full process photos. Women should be assured that what they see post op may be scary now but won't be after expanders come out and implants put in. Or after each fill, you can see improvement. I look down and see frankenboobs at the moment. I also cannot stand that my former DDs no longer hide my protruding stomach. Does anyone know of any bloggers that documented their progress from start to finish

Dx 3/27/2015, DCIS, Left, 6cm+, Stage 0, Grade 3, ER+/PR+ Surgery 5/17/2015 Lumpectomy: Left; Lymph node removal: Sentinel Dx 5/26/2015, IDC, Left, <1cm, Stage IB, Grade 3, 0/5 nodes, ER+/PR+, HER2- Surgery 8/5/2015 Mastectomy: Left; Prophylactic mastectomy: Right
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Aug 15, 2015 01:53AM Meow13 wrote:

I had great results, but now see flat spots. I think I need more fat grafting. Beginning to think reconstruction needs fixing every few years. I hate the idea of constant maintenance and the dreaded garment.

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Aug 21, 2015 06:30PM RosieMjdtrt wrote:

Had my first fill... 120 ccs in each. Still doesn't improve the loose skin and thick scars. Dr keeps reassuring me everything will be fine after 2nd surgery

Dx 3/27/2015, DCIS, Left, 6cm+, Stage 0, Grade 3, ER+/PR+ Surgery 5/17/2015 Lumpectomy: Left; Lymph node removal: Sentinel Dx 5/26/2015, IDC, Left, <1cm, Stage IB, Grade 3, 0/5 nodes, ER+/PR+, HER2- Surgery 8/5/2015 Mastectomy: Left; Prophylactic mastectomy: Right
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Aug 21, 2015 08:39PM JO-5 wrote:

How about posting some pictures where the latissimus dorsi flap was used, both for breast reconstruction and for no reconstruction

I bet there are none for no reconstruction, because it is really odd looking. Flat would be much better than this wierd bump

....and then there is that under arm loaf that rarely goes away.

JO-5

Org dx 04 lumpectomy rads arimidex stage 1 grade 3 no nodes er+pr+her- 2014 rads induced angiosarcoma, wide excision 2015 angio recurrence, rt mast. Lat flap, 1/3 flap went necrotic, skin graft leg to chest Seeing dr every 3 to 6 months.
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Aug 23, 2015 04:27PM philomene wrote:

It's problematic to me that all these photos are from one surgical center in New Orleans (one that doesn't accept most insurances at that) and all DIEP reconstruction. It's basically an advertisement for NOLA, and not very helpful for women dealing with reconstruction issues.

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Aug 23, 2015 05:07PM - edited Aug 23, 2015 05:08PM by AmyQ

I want to add that my reconstruction looked lovely, almost perfect however they hurt like hell and after two years I had them removed. The aftermath isn't great but 75% of the pain is gone and to me QOL is more important than looks. I wish all you ladies much luck with excellent results.

Amy

Dx 2/7/2013, IDC, 1cm, Stage IV, Grade 2, 2/3 nodes, mets, ER+/PR+, HER2- Chemotherapy 4/9/2013 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 7/19/2013 Femara (letrozole) Radiation Therapy 11/25/2015 External: Bone Hormonal Therapy 1/10/2016 Faslodex (fulvestrant)
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Aug 24, 2015 12:55AM Meow13 wrote:

Amy, I agree looking great is wonderful but not worth pain. I haven't had pain after my diep but I am sick of more maintenance surgery to keep it up.

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Aug 24, 2015 07:52AM - edited Aug 24, 2015 10:19AM by ruthbru

As with anything else that is being sold, buyer beware.

"Invisible threads are the strongest ties." Friedrich Nietzsche Dx 2/2007, Stage IIA, Grade 3, 0/11 nodes, ER+/PR-, HER2-
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Aug 24, 2015 09:33AM SugarCakes wrote:

the website Real Self has some good pictures showing realistic photos at various stages. There is also a picture site that members from here started. I began posting pics there, but am behind in updating. Had NSBMX on July 7 with TEs filled to 250cc. Healed for about 3 weeks and then had three weekly fills of 75, 100, and 100cc. Only the last fill to 525cc total resulted in discomfort in my chest and back. TEs are hard as boulders! But actually look good in my bra and clothing. Will exchange for implants on September 9th. Heal 2 to 3 weeks and then start radiation. I will continue to take pictures. It has been hard to find pictures for my particular set of circumstances. Praying radiation is not too hard on the implant. PS says fat injectingis an option for necessary fixes.

46 years old Dx 1/20/2015, IDC, Left, 4cm, Grade 3, ER-/PR-, HER2+ Targeted Therapy 2/1/2015 Perjeta (pertuzumab) Chemotherapy 2/1/2015 Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy 2/2/2015 Herceptin (trastuzumab) Surgery 7/6/2015 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 9/9/2015 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Radiation Therapy 10/5/2015 Whole-breast: Breast Surgery 2/21/2017 Reconstruction (left): Fat grafting, Silicone implant Surgery 1/30/2018 Reconstruction (left): Latissimus dorsi flap, Tissue expander placement
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Sep 1, 2015 08:55AM kmahalick wrote:

I also found that Vinnie Myers who does nipple tattoos has posted some of the portfolio of the work they have done over the last 12 years. This provides a good overview which I wish I had had access to back in 2012.

Surgery 12/13/2012 Mastectomy: Right; Reconstruction (right): Tissue expander placement Surgery 2/28/2013 Reconstruction (right) Surgery 8/14/2013 Reconstruction (right): Nipple reconstruction Surgery 2/20/2014 Reconstruction (right): Nipple reconstruction Surgery 8/22/2014 Reconstruction (right) Surgery 8/27/2014 Reconstruction (right) Surgery 10/16/2014 Reconstruction (right): Nipple reconstruction Surgery 1/19/2016 Reconstruction (right)
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Sep 7, 2015 12:21PM Rebecca54 wrote:

What do people think of the tear drop vs regular implants? I like the concept of the tear drop shape but they feel heavy and I wonder about the ripples showing. Also will the regular look "tear droppy" since placed under the muscle?

I told my PS I wanted tear drop and am now rethinking it and surgery date is 10/7 so guess I need to decide!

Appreciate your wisdom!

xo

Dx 2/17/2015, IDC, Left, 1cm, Stage IIB, Grade 2, 1/3 nodes, ER+/PR+, HER2- (FISH) Surgery 4/26/2015 Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 6/17/2015
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Sep 17, 2015 02:39PM HomeMom wrote:

I have an appointment with my PS tomorrow to talk about nipple reconstruction. I don't know that I want another surgery just to have a nipple. I'm about to turn 55 and have been married for 32 years. I could always go see Vinnie when he is in N'awlins. We haven't been there in almost 30 years!

Dx 3/31/2014, IDC, 2cm, Stage IIB, Grade 1, 3/29 nodes, ER+/PR+, HER2- Surgery 4/15/2014 Lumpectomy: Left Surgery 5/6/2014 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left; Reconstruction (left): Tissue expander placement Chemotherapy 5/30/2014 AC Chemotherapy 7/25/2014 Taxol (paclitaxel) Radiation Therapy 10/16/2014 Hormonal Therapy 12/15/2014 Arimidex (anastrozole)
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Sep 22, 2015 05:57AM Crescent5 wrote:

Rebecca, I would request to feel both types. When I was going through recon a few years ago, the tear drops were kind of firm so I opted for the regular old rounds, and frankly even they feel firm to me.

Dx: ALH, LCIS 10/10, PLCIS 11/10 ~ PBM 1/13/12 ILC 4mm & 7mm found post MX Stage 1 Grade 2 ER/PR+ HER2- 0/9 nodes Oncotype Score = 6, Tamoxifen 4/12 ~I want this sh*t to leave me alone Dx 1/13/2012, ILC, <1cm, Stage IB, Grade 2, 0/9 nodes, ER+/PR+, HER2-
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Oct 28, 2015 05:39PM - edited Oct 29, 2015 06:28AM by leftduetostupidmods

Except for a scar that didn't fade too well and will be dealt with soon, I think that my LD reconstruction looks much better than those photos - considering all the issues I had with it it's amazing, really.And I can say that once I lost the weight that I had put on during treatment, the lump under the arm went away almost completely also - I have 10 more lbs to lose and I'm sure that by the end of it it will be completely gone.

I would still not recommend the type of reconstruction I had to anybody. The surgeon, maybe. He's definitely a perfectionist.

I'm posting a pic, no face, and I'm wearing one of those tank-tops but you can surely figure out what I'm talking about. My phone-holding arm is squishing a little one of the foobs because of the position, but you can still get a good idea. They look and feel as the breasts I had when I was 16, only quite bigger, so at 54 y.o. it feels really good, talking self-image. There is also the fact that when I lost weight, I gained cup size as these don't shrink.


left this forum this time for good due to how stupid moderators are
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Nov 3, 2015 09:37PM MLmom wrote:

thanks for your post and picture, I am 43 and my PS wants to do a LD and reading other posts I was starting to worry... Did you do the reconstruction at time of mastectomy? Thank

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Nov 3, 2015 10:41PM leftduetostupidmods wrote:

Yes, immediate reconstruction. I had a lot of issues and am disabled now. You might want to look down this forum for the "possible complications from LD" thread I posted. I don't advise you to do it.

left this forum this time for good due to how stupid moderators are
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Nov 23, 2015 09:37AM BigSister-2015 wrote:

Have you looked into DIEP? I had two infections after tissue expanders (trying to do implants) and the doc recommended the LD flap. The more I looked into it, the more concerned I became, so I went back to see my breast surgeon to talk about options. He had me see a surgeon who specialized in DIEP. I had to travel to another city (1.5 hours), but I am so glad I did!

The DIEP is a much better reconstruction option. You need to find a doc who does a lot of them (at least 1/week) so you will likely need to travel to a larger medical center, but it is well worth it. Check out the DIEP 2014 or DIEP 2015 forum. I learned a ton there and am ready to get mine on December 10!

Dx 1/2015, IDC, Left, <1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2- (FISH) Surgery 2/12/2015 Mastectomy: Left, Right; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 3/2/2015 Surgery 6/10/2015 Reconstruction (left): Tissue expander placement Surgery 7/2/2015 Surgery 12/10/2015 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Surgery 4/6/2016 Reconstruction (left): Fat grafting, Nipple reconstruction; Reconstruction (right): Fat grafting, Nipple reconstruction
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Nov 24, 2015 11:16AM leftduetostupidmods wrote:

BigSister, who are you recommending DIEP to?

left this forum this time for good due to how stupid moderators are
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Dec 1, 2015 10:27PM BigSister-2015 wrote:

Seachain, I think I was responding to MLmom since she wasn't sure if the lat flap was such a good idea.

Dx 1/2015, IDC, Left, <1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2- (FISH) Surgery 2/12/2015 Mastectomy: Left, Right; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 3/2/2015 Surgery 6/10/2015 Reconstruction (left): Tissue expander placement Surgery 7/2/2015 Surgery 12/10/2015 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Surgery 4/6/2016 Reconstruction (left): Fat grafting, Nipple reconstruction; Reconstruction (right): Fat grafting, Nipple reconstruction
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Dec 2, 2015 07:24AM leftduetostupidmods wrote:

Ah. thank you.

left this forum this time for good due to how stupid moderators are
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Dec 3, 2015 09:00AM jenkin wrote:

Hello everyone. I am reaching out because I have a plastic surgery consult next week. Briefly: bilateral mastectomy, tissue expanders, and implants 2008. Due to other health concerns (my own and members of my family) I never revisited improvements to the basic surgery until now. (Possible capsular contraction on left side.)

Pls talk to me about nipple recon. I cannot get my head around why I might want to get faux nipples that would be permanently erect, and forever without sensation. I can understand the initial appeal of the "trompe l'oeil" but all the energy put toward this outcome? A little lost about that. I am divorced, early 50s, and would like to actively date but haven't yet. Will this help when I might want to reveal myself to a man?

Thank you for your insight and help, and hoping you are well.

signed, Raggedy Jen

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Dec 3, 2015 10:48AM GG27 wrote:

Jen, you may not want to do nipple recon. It was very easy & not much recovery, the surgery was done with local, my PS & I chatted about gardening etc. I had to keep little nipple gauzes on them for a couple of weeks til they healed. I do not have headlights, they were very large (horrifying so) at first, but settled down nicely, I will never have feeling anywhere up there. Then I had them tattooed. I never have to wear a bra & they look completely natural.

I went a year without having it done but hated the whole "Barbie boob" look, it annoyed me. So I took the time & energy to do it. But if you're happy the way you are, then why put yourself through it. You can always change your mind & have it done later, or just have 3D tattoos done. Good luck! GG

Dx 10/2008, IDC, Both breasts, 3cm, Stage IIB, Grade 2, 3/9 nodes, mets, ER+/PR+, HER2- Surgery 1/8/2009 Lymph node removal; Mastectomy: Left, Right Chemotherapy 2/1/2009 Other Radiation Therapy 7/5/2009 Whole-breast: Breast, Lymph nodes Hormonal Therapy 9/6/2009 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 5/14/2014, IDC, Both breasts, Stage IV, metastasized to bone, 9/20 nodes, mets, ER+/PR+, HER2- Hormonal Therapy 5/19/2014 Arimidex (anastrozole) Hormonal Therapy Faslodex (fulvestrant) Radiation Therapy External: Bone Hormonal Therapy Femara (letrozole) Targeted Therapy Ibrance (palbociclib)
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Dec 4, 2015 12:39PM - edited Jan 4, 2016 10:25PM by Leslie13

Like searchin, I went straight to implant with a nipple sparing BMX. My results are really good and I have full feeling in one breast. I'm 8 weeks out and still have pain. I'm treated for chronic pain, as I have severe arthritis in my back and hip so that may make it easier for me. My right hip needs replacement and left already is, so other body parts are screaming louder.

So I may not be the best judge of how uncomfortable this surgery is. The first 3 weeks were hardest, and starting water exercise really helped with strength and flexibility. And Foobs are certainly easier to adjust to than an artificial joint!

Dx 4/17/2015, ILC, Both breasts, 3cm, Stage IIIA, Grade 2, 4/22 nodes, ER+/PR+, HER2- Surgery 9/29/2015 Lymph node removal: Right; Mastectomy: Left, Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy Femara (letrozole)
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Dec 4, 2015 04:25PM Unbreakable01 wrote:

I had a single mastectomy with the tissue expander, my exchange surgery is in January. In the beginning my boob was quite deformed and deflated. Slowly but surely after the fills it started to look normal. It looks good right now, nice and full, slightly larger than my other one and just a scar. I'm impressed with the work that the plastic surgeon did.

I have a timeline photo on my Fb page so others could see what the process is like.

Dx 5/11/2015, IDC: Mucinous, Right, 2cm, Stage IIA, 0/2 nodes, ER+/PR+, HER2- Surgery 7/29/2015 Lymph node removal: Right; Mastectomy: Right; Reconstruction (right): Tissue expander placement Surgery 1/10/2016 Reconstruction (right): Silicone implant Surgery 8/15/2016 Lumpectomy: Right Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Dec 18, 2015 05:25PM stellamaris wrote:

Hi and thank you all for sharing your experiences. Initially it looked like I was going to escape mastectomy, but the surgeon has not been able to clear the margins, and the ILC is multi-focal, so I am facing a mastectomy (right side only). I will see the PS in January to discuss options. My surgeon suggested that there would likely be a reduction needed on the left in order to achieve balance. I hate the thought of messing with the left breast for purely cosmetic reasons, but I guess the alternative is worse aesthetically. I was wondering if there are cases where expanders are not used and just an implant is used? Do folks have experience with scar tissue affecting the implant (look, feel, position) over time? Also, any experiences with saline vs silicon implants?

Dx 10/5/2015, ILC, Right, 4cm, Stage IIA, Grade 2, 0/3 nodes, ER+/PR-, HER2- Surgery 10/30/2015 Lumpectomy: Right Surgery 12/2/2015 Lumpectomy: Right Hormonal Therapy 12/18/2015 Femara (letrozole) Surgery 2/11/2016 Lumpectomy: Right Surgery 3/24/2016 Mastectomy: Right; Reconstruction (right): DIEP flap

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