Step-by-Step Reconstruction: Visual Timeline

Welcome to The Step-by-Step Visual Timeline Section, where we highlight the various reconstructive procedures involved in staged breast reconstruction.

Breast reconstruction is almost always a staged procedure, which means that it typically takes more than one surgery to reach a final result. These surgeries often happen over an extended period of time. Most patients only have an opportunity to see before and after photos of patients before mastectomy and after their very last revision. Both the kinds of revision procedures involved between those points and the time it takes to reach a satisfactory breast reconstruction can be hard to understand without first hand experience. We created the Step-by-Step Visual Timeline section of this website to address that need.

Everyone’s process is different. Step-by-Step Visual Timelines offer a detailed look at every stage of a breast reconstruction procedure, cataloging a unique patient experience and highlighting the differences between cases. Each timeline begins with a general overview of the case, including the type of reconstruction, timing of the procedures, and the total number of stages involved. Each timeline point includes a carousel of up to five photos of that stage, along with a brief description of that surgical stage and its timing. These multi-step-snapshots provide examples of realistic expectations when it comes to recovery and key milestones throughout the reconstructive process. Timelines also include medical illustrations to further explain specific procedure stages.

N.B. This section uses pseudonyms for patients to protect their anonymity. Patient case names do not reflect actual patient names. Patients in this section are in no way related to individuals who chose to share their experiences in our Patient Stories section.

the plastic surgery foundation logo

This section was made possible through partnership with the Plastic Surgery Foundation.

Christina after After
Christina before Before

Christina

Procedures
  • Breast reduction and lift
  • Nipple delay procedure
  • Nipple-sparing mastectomies and immediate
  • Bilateral DIEP flaps
  • Revision reconstruction and umbilical reconstruction
View timeline →
Claire after After
Claire before Before

Claire

Procedures
  • Bilateral breast reduction pattern skin-sparing mastectomies with immediate prepectoral tissue expanders and dermal matrix
  • Expander implant exchange with revision reconstruction and fat grafting
  • 3-D nipple tattoo
View timeline →
Dylan after After
Dylan before Before

Dylan

Procedures
  • Bilateral skin sparing mastectomies
  • Bilateral DIEP Flap breast reconstruction with sensory nerve reconstruction
View timeline →
Lara after After
Lara before Before

Lara

Procedures
  • Bilateral DIEP flaps
  • Bilateral nipple reconstruction and bilateral breast revision
  • Bilateral nipple-areola tattoo
View timeline →
Liz after After
Liz before Before

Liz

Procedures
  • Bilateral mastectomies
  • Bilateral DIEP flap
  • Revision reconstruction/Nipple Reconstruction
  • Nipple areola tattoo
View timeline →
Lydia after After
Lydia before Before

Lydia

Procedures
  • Bilateral mastectomies
  • Bilateral DIEP flaps
  • Bilateral revisions
  • Nipple areola reconstruction
  • Nipple areola tattoos
View timeline →
Remy after After
Remy before Before

Remy

Procedures
  • Latissimus dorsi (LD) flaps
  • Expander-implant
  • Fat grafting
  • Nipple areola tattooing
View timeline →
Samantha after After
Samantha before Before

Samantha

Procedures
  • Bilateral Breast reduction
  • Surgical Delay of an Extended DIEP flap
  • Bilateral nipple sparing mastectomies with nerve preservation
  • Bilateral DIEP Flap breast reconstruction with sensory nerve reconstruction
View timeline →