DESCRIPTION:

Patient is a 53 year old patient who was diagnosed with left breast invasive ductal carcinoma. The tumor located behind her nipple which necessitate the removal of the nipple. The patient desires to have prophylactic mastectomy on the right at the same time. She underwent 2 stage breast reconstructions with implant

Stage 1 – Skin sparing mastectomy and immediate reconstruction with tissue expander in a preopectoral space (Above the muscle)

Stage 2 – 4 months after stage 1 surgery. – She underwent bilateral breasts removal of tissue expander and placement of permanent implant and nipple reconstructions

Implant – Natrelle smooth round silicone implant cohesive gel 605 cc