Dr. Joshua L. Levine’s
Patient Results Gallery

See Real Patient Natural Tissue Breast Reconstruction Transformations

Breast reconstruction is more than a procedure—it’s a restoration of confidence and self-image.
Dr. Levine’s advanced techniques provide natural-looking results tailored to each patient’s needs.
Browse real patient results and see how transformation is possible.

Viewing Disclaimer

The photographs in this section are of actual patients of Dr. Joshua Levine, microsurgeon and Director of the Center for Breast Reconstruction.

The patients shown in Dr. Levine’s results gallery have undergone various types of natural tissue breast reconstruction (perforator free flaps), i.e. DIEP/SIEA, PAP, GAP, delayed, immediate, with nipple-sparing mastectomy, etc. Keep in mind that each patient is unique and results may vary.

To discuss your unique and individual case, please contact our office to schedule a consultation.

Each patient has given consent to share her images and related case information online. Photos are intended solely to assist those considering our breast reconstruction services. The photographs are for general information and educational purposes ONLY. Individual results will vary based on body type, breast size, age, medical and surgical history, lifestyle and other factors. For more information, please contact our office to discuss your individual case. Due to the graphic nature of the photos, viewing may not be suitable by all. Discretion is advised.

Dr. Joshua Levine, MD, FACS. – Meet Your Surgeon

View Patient Results by Procedure & Indication

Click on each option to view results photos for specific procedures.
Scroll down to see results categorized by indications, including Prophylactic Mastectomy with Reconstruction, Implant Failure, and Poland Syndrome.

Result Photos by Procedure:

Clicking on a procedure will take you to a dedicated gallery of patient results, where you can browse individual cases. Each case includes details such as the indication for surgery, whether the procedure was immediate or delayed, if a nipple-sparing mastectomy was performed, history of breast cancer, bilateral reconstruction, and more.

The following advanced procedures are performed by Dr. Levine, a leader in the field who has pioneered many of these techniques throughout his career.

  • DIEP / SIEA Flap (abdomen)
  • Combination Flaps (abdomen + thigh)
  • PAP Flap (thigh)
  • SHaEP Flap (abdomen)
  • IGAP Flap (lower buttock)
  • SGAP Flap (lower buttock)
  • TDAP Flap (underarm)
  • ICAP Flap (underarm)

Abdomen

DIEP / SIEA FLAP

DIEP (Deep Inferior Epigastric Perforator) flap reconstruction is widely recognized as the gold standard for natural breast reconstruction. This advanced technique uses skin and fat from the lower abdomen—without taking muscle—to restore the breast after mastectomy. As a bonus, it can also provide a tummy tuck-like effect, creating a natural contour while maintaining core strength.

Abdomen + Thigh

COMBINATION FLAPS

Perforator flaps from different donor sites can be combined/stacked to obtain adequate volume in breast reconstruction. One example is a “stacked” DIEP and PAP combination.

Thigh

PAP FLAP

The PAP flap uses available tissue from the back of the thigh at the buttock crease (“banana roll”.) This is a great option for those who are thin or have low body fat.

Abdomen

SHaEP FLAP

By extending the DIEP, more tissue can be used from the hip in combination with abdominal tissue to get the volume needed to reconstruct both breasts.

Lower Buttock

IGAP & SGAP FLAP

The IGAP, or “In-the-crease” IGAP, uses available tissue from the lower buttock just above the buttock crease. This option is great for those who are thin or have low body fat. The SGAP flap uses available tissue from the upper buttock.

Underarm

TDAP & ICAP FLAPS

These flaps use available tissue from the chest wall underneath the arm and are particularly useful for partial breast reconstruction.

View Patient Result Photos by Indication:

Here, we provide patient results categorized by indication, including Poland Syndrome, Implant and Reconstruction Failure, and Prophylactic Mastectomy with Reconstruction. Each case highlights how advanced reconstructive techniques restore symmetry, function, and confidence for individuals with unique medical needs. Explore the before and after photos to see the transformative outcomes achieved through personalized surgical approaches.

Indication

Poland Syndrome

Poland Syndrome breast reconstruction is a surgical procedure focused on restoring symmetry and aesthetic balance by utilizing techniques such as autologous tissue transfer to address the underdevelopment or absence of chest muscles on one side of the body

Indication

Implant Failure / Unsatisfactory Reconstruction

After implant failure or unsatisfactory reconstruction, natural tissue reconstruction in patients offers enhanced outcomes, utilizing the body’s own tissues to achieve improved symmetry and more satisfactory aesthetic results.

Indication

Prophylactic Mastectomy with Reconstruction

Prophylactic mastectomy (risk-reducing mastectomy) with autologous breast reconstruction not only diminishes the risk of cancer but also brings about aesthetic enhancements through advanced procedures.

Dr. Joshua Levine Breast Reconstruction Surgeon Welcome Text

Dr. Joshua L. Levine, MD, FACS
World-Leading Authority in Perforator Flap Breast Reconstruction
Based in New York, New Jersey, and Connecticut

Meet Dr. Joshua L. Levine

World-Renowned Natural Tissue Breast Reconstruction Surgeon

Dr. Joshua Levine is a world-renowned perforator flap breast reconstruction surgeon. Meaning, all of his breast reconstruction procedures, are muscle-sparing, using only your own natural tissue to restore your breast(s).

With his advanced techniques, such as stacked combination flaps, or utilizing the delay phenomenon in staged-immediate reconstruction, all women, no matter how thin and no matter what body type, are candidates for natural tissue, muscle-sparing, implant-free breast reconstruction.