Fifty-two-year-old woman with right breast cancer underwent bilateral mastectomies with unsatisfactory tissue expander reconstruction. She chose to convert her expanders to bilateral DIEP free flap breast reconstruction.

Sixty-three-year-old woman treated right breast cancer with lumpectomy and radiation in 2002. She was later diagnosed with left breast cancer, at which point she underwent bilateral mastectomies with expander implant reconstruction in 2016. After recurrent right cellulitis required her to remove her right breast implant, she chose to have bilateral DIEP flap breast reconstruction with bilateral capsulectomies, followed by nipple areola reconstruction and tattoo at a later date.

Forty-seven-year-old woman diagnosed with right breast cancer underwent bilateral mastectomies and tissue expander reconstruction, followed by right breast radiation therapy. Related to the radiation, the tissue expander on her right side developed a non-healing wound. After removing both expanders she underwent bilateral DIEP flap breast reconstruction.

Forty-seven-year-old woman treated left breast cancer with a left mastectomy without reconstruction in 2015. She later underwent a risk reducing, skin-sparing mastectomy and re-creation of left mastectomy defect on the right side with immediate DIEP flap breast reconstruction, followed by bilateral nipple areola reconstruction and tattoo at a later date.

After treating left breast cancer with bilateral mastectomies with saline implant reconstruction in 1996, this 56-year-old-woman developed right capsular contracture and a left implant leak. She chose to have bilateral implant removal with DIEP flap reconstruction, followed by nipple areola reconstruction and tattoo at a later date.

Sixty-eight-year-old woman with a history of left breast cancer underwent mastectomy with implant reconstruction elsewhere in 1989. She developed capsular contracture and chose to have the implant and capsule removed and replaced with delayed DIEP flap reconstruction, followed by nipple areola reconstruction and tattoo at a later date. After the left side revision was complete, she underwent a breast lift on her right side to improve symmetry.