Dr. Justin R. Bryant

04/20/2026

This patient in her 60’s had a remote history of left breast lumpectomy with adjuvant radiation therapy. She unfortunately later once again developed breast cancer in this left breast, requiring a left mastectomy. Her goals for reconstruction was to attain good symmetry to her opposite breast and she chose implant breast reconstruction. Given her history of radiation therapy to the left breast, we chose a traditional elliptical incision mastectomy pattern with removal of her ni**le ar**la complex in order to reduce her risk of complications. We were able to help her in achieving her goal with silicone gel breast implants placed on top of the muscle (prepectoral).



This patient of mine has given informed consent to post and share their photos and story to promote awareness of options in reconstruction. These photos are not authorized for use by any other party.

04/16/2026

This patient in his 40’s with a history of chronic left knee periprosthetic infection was referred to me by one of my orthopedic colleagues as he was at high risk of amputation. He unfortunately had a long history of multiple knee replacement surgeries and revisions, which resulted in scar tissue, making the skin around his knee thin and tight. He had recently had his knee hardware removed and replaced with an antibiotic spacer, but was at high risk for failure of another knee replacement due to the thin, tight skin around his knee.

In patients with a history of knee replacement surgery complications and a higher risk of complications we are able to add extra skin and soft tissue around the knee (in the form of a flap) prior to knee replacement surgery to reduce the risk of these complications.

For this patient, I performed a prophylactic free flap using skin and soft tissue from the thigh of his other leg to resurface the tissue around his knee prior to his next knee replacement surgery. After healing from his flap, he went on to have his knee replacement surgery without complications and has gotten back to walking and resuming his normal life!

I appreciate the collaboration of my orthopedic colleagues as part an OrthoPlastic Surgery Team in restoring both form and function!



This patient of mine has given informed consent to post and share their photos and story to promote awareness of options in reconstruction. These photos are not authorized for use by any other party.

03/30/2026

This young patient in her 20’s initially presented to an outside facility where a small lump, which had progressed in size, was excised. After this mass was examined under the microscope, she was diagnosed with soft tissue sarcoma. After seeing our orthopedic oncology colleagues in consultation, this area required radical resection to obtain clear margins, leaving a sizable defect on her forearm with exposed tendon and bone.

We used an ALT flap to reconstruct the defect of her forearm using skin and fat from her thigh with it’s own blood supply. The blood vessels from this flap were also connected to the proximal and distal ulnar artery to ensure she maintained two vessel blood flow to her hand.




This patient of mine has given informed consent to post and share their photos and story to promote awareness of options in reconstruction. These photos are not authorized for use by any other party.

03/05/2026

One of the most common types of reconstruction in my practice is reconstruction for patients with healing complications following orthopedic surgery. We commonly help these patients who have exposure of bone after traumatic injuries or exposure of orthopedic hardware after surgery.

This patient in her 60’s had a fall resulting in a fracture at her elbow. Unfortunately after having this fracture repaired with orthopedic hardware, she had breakdown of her incision and exposure of her elbow bone and the orthopedic plate. This placed her at risk of bone infection and she needed to have this plate removed from her bone. However, she did not have enough skin to simply close this wound after the orthopedic plate was removed.

She was seen in my office in consultation and underwent reconstruction this difficult wound with a reverse lateral arm flap. This flap contains skin and fat connected to a small blood vessel from the upper arm, which provides padding for the elbow. As a result she has healed well with no further wound or infection and is getting back to her daily routine!



This patient of mine has given informed consent to post and share their photos and story to promote awareness of options in reconstruction. These photos are not authorized for use by any other party.

03/03/2026

This patient in her 70’s was unfortunately diagnosed with breast cancer and underwent bilateral skin-sparing mastectomies. When she met with me in consultation, her goals for breast reconstruction were to achieve a slightly lifted appearance of her breasts with more fullness. We were able to help her achieve these goals following by first using a to design her skin-sparing mastectomies to tighten and lift the breast envelope, providing her with a more rejuvenated appearance to her breasts.

She chose to have the volume of her breast reconstruction replaced with implant-based using smooth round silicone breast implants in the prepectoral plane. In order to maintain this volume and lifted appearance, she also chose to have a “ ” scaffold placed to support her implants. She has been very pleased with her result and we’re happy we were able to help her achieve her goals!




This patient of mine has given informed consent to post and share their photos and story to promote awareness of options in reconstruction. These photos are not authorized for use by any other party.

02/02/2026

If breast reconstruction wasn’t an option at the time of mastectomy, you still have choices. Many patients are candidates for delayed breast reconstruction—it’s never too late to explore your options.

This patient in her 60’s was diagnosed with breast cancer and underwent bilateral skin-sparing mastectomies and flat closure. Unfortunately, immediate breast reconstruction was not available as an option in her hometown even though she desired reconstruction of her breasts. Eventually, after searching nearby cities she found her way to my practice, almost 2 hours away and saw me in consultation for delayed breast reconstruction 6 months after her mastectomies. We discussed her goals for breast reconstruction and together created a plan for implant breast reconstruction to help her achieve these goals.

Recently, she traveled by plane to see me for a follow-up appointment before getting her ni**le ar**la tattoos. It was so gratifying to see how pleased she was that we were able to make her feel whole again with her delayed breast reconstruction! Breast Reconstruction is always an option – no matter the timing!




This patient of mine has given informed consent to post and share their photos and story to promote awareness of options in reconstruction. These photos are not authorized for use by any other party. Tattoos have been covered for privacy.

12/17/2025

Oncoplastic Breast Reduction/Lift is a option for patients undergoing a who also desire a lift/reduction of their breast. These two procedures can be combined to reduce the risk of deformity resulting from lumpectomy and help patients achieve their goal for reduced breast size.

This patient in her 50’s was diagnosed with right breast cancer and chose to undergo a lumpectomy and radiation. Before being diagnosed, she had always thought about having a breast reduction in the past to reduce the size of her breasts but never had the time for that surgery. When she was seen in my office for consultation prior to her lumpectomy we discussed an option for breast reconstruction by combining a breast reduction/lift surgery with her lumpectomy and she was happy to be able to combine these two procedures.

At the same time as her lumpectomy surgery, she underwent a right breast reduction/lift to rearrange her breast tissue, reshape her breast, and fill the defect left by this large lumpectomy. She also underwent a breast reduction/lift of the left breast at the same time to match her right breast and achieve good symmetry. After healing from surgery, she went on to have radiation of her right breast to complete the oncologic treatment of her breast cancer.

She has been very happy she chose this option for breast reconstruction with lumpectomy and very pleased with her results!

The “After” photos shown were taken 4 months after surgery, and 2.5 months after completing radiation therapy.




This patient of mine has given informed consent to post and share their photos and story to promote awareness of options in reconstruction. These photos are not authorized for use by any other party.

10/29/2025

After being diagnosed with left breast cancer, this lovely patient in her 70’s chose to undergo a left unilateral ni**le sparing via a incision in the inframammary fold beneath her breast. She chose to undergo implant-based placed in the prepectoral (on top of the muscle) plane. In some cases we can add an implant to the opposite breast to improve upper pole fullness and achieve better symmetry, which was chosen by this patient. She has been thrilled with her results and the volume restoration we were able to achieve with her breast reconstruction!




This patient of mine has given informed consent to post and share their photos and story to promote awareness of options in reconstruction. These photos are not authorized for use by any other party.

10/15/2025

10/03/2025

I love staying academically engaged, sharing what I do and continuing to learn and advance in my practice. Today I feel so fortunate to have had the opportunity to share my experiences with the Medical College of Wisconsin Plastic Surgery residents. They are lucky to be part of an excellent training program which helped in shaping the surgeon I am today!

09/04/2025

07/29/2025

I am very grateful to have had the opportunity to attend the 65th MAPS Midwestern Association of Plastic Surgeons meeting this past weekend. I always look forward to learning, catching up with old friends/colleagues, and making new connections at this annual meeting. This year I was honored to participate as a speaker, sharing my experiences with Tertiary Care in the Community. I look forward to another amazing meeting next year!