Figure 3.

Before and after photos for a patient with first stage breast reduction and second stage autologous breast reconstruction. (A) A 35-year-old female patient with PMH of BRCA2 gene mutation and BMI 25 kg/m² desiring mastectomies and autologous reconstruction, with grade 2 ptosis and macromastia on examination. Preoperative planning for breast reduction; (B) 3 months status-post breast reduction and preop for mastectomies and free flap reconstruction; (C) 3 months status-post bilateral nipple sparing mastectomies and immediate reconstruction with DIEP flap. PMH, past medical history; BRCA, breast cancer related gene; BMI, body mass index; DIEP, deep inferior epigastric perforator.