The patient underwent bilateral mastectomies, during which Dr. Ruter placed tissue expanders. After the surgery, she received radiation therapy to the left breast as part of her cancer treatment. Once the radiation was completed, Dr. Ruter replaced the tissue expanders with moderate to high-profile breast implants. Additionally, a liposuction procedure was performed to harvest fat from the abdomen, which was then used for autologous fat transfer to enhance the contour and aesthetic outcomes of the breasts.

This patient presented for cosmetic breast revision after having saline breast implants placed many years earlier. She was found to have a rupture of the left saline implant.

Board- certified plastic surgeon Dr. Ruter performed removal of both implants and replaced them with silicone gel implants. In addition, internal tissue tightening (capsulorrhaphy) was performed to improve implant positioning and breast contour. The procedure resulted in a stable reconstruction with an excellent aesthetic outcome.

This patient underwent bilateral mastectomies for breast cancer using an inframammary fold incision to preserve the nipple–areolar complexes. Immediate breast reconstruction was performed by Board-certified plastic surgeon Dr. Ruter during the same operative setting with implant placement and biologic mesh used as an internal bra for structural support.

Her initial reconstruction healed well; however, residual cancer was later identified at the nipple–areolar complexes. As part of her oncologic management, she subsequently underwent excision of both nipples and areolas to ensure complete cancer removal.

This patient previously underwent breast augmentation approximately 10 years prior. She later developed right-sided breast cancer, which was treated with lumpectomy and radiation therapy. Post-treatment, she experienced significant breast asymmetry and radiation-induced contraction of the right breast.

Board-Certified plastic surgeon Dr. Ruter performed revision breast surgery to restore symmetry and improve overall aesthetic balance. Both implants were removed and replaced. A biologic mesh was utilized on the right breast to provide additional support and reduce the risk of recurrent capsular contracture. On the left side, a GalaFLEX® internal bra mesh was placed to elevate and support the implant, resulting in a more balanced and aesthetically improved outcome. Photos were taken 4 weeks post-op. Asymmetry will continue to improve with time.

This 46-year-old patient underwent bilateral breast reduction by Board- certified plastic surgeon Dr. Ruter. Post-operative photos were taken during her one-month follow-up appointment. The patient is already pleased with her results, and the scars will continue to fade over time.

Breast reconstruction performed by Dr. DeRoberts.

47-year-old female with malignancy of left breast. Prior to her cancer, both breasts were very droopy (ptosis). To correct this appearance, a breast lift was also accomplished during the reconstruction. She lost her nipples during the mastectomy and they were reconstructed as well.

54-year-old female with malignancy of the left breast. Mastectomy with very large breast required for both breasts, and reduction of breast size. Bilateral reconstruction of nipple and areolas.

61-year-old female with right breast cancer. Prior to surgery she had very droopy breasts (ptosis). With the mastectomy, both nipples and areolas were removed . Reconstruction was done in 1-step procedure, with silicone implants and reduction of the breast size. The nipples were then reconstructed under local anesthesia in office.

This 66-year-old woman had breast cancer in her left breast. During bilateral mastectomies the nipples and areolas were removed. Immediate reconstruction was done with silicone implants. The nipple and areolas were reconstructed as a second stage at the office.

This 62-year-old woman had breast cancer in her right breast. She opted for bilateral mastectomies and during that surgery nipples were removed. She desired to have perkier breasts than before her surgery. A 2-stage reconstruction was done. First using tissue expanders to stretch the skin and second, introduction of permanent implant and nipple reconstruction. This gave her very perky breasts compared to before her surgery.

This 50-year-old woman had cancer in her right breast. She had started with very large breasts. She desired reduction of her breast size during the reconstruction. The general surgeon removed both nipples and areolas. The reduced breast was reconstructed in 2 stages. First, with the silicone implant bilaterally, and second stage, the nipples and areolas were reconstructed.