47 year old mother of to who as diagnosed with left breast DCIS at to locations and extensive family history of breast cance, including her mother and sister. She elected to undergo bilateral nipple sparing mastectomy and desires implant base breast reconstruction. She also desires to have fuller size breasts after the reconstruction. Her reconstruction journey included.
Surgery 1: bilateral nipple sparing mastectomy and immediate reconstruction with tissue expander wrap in ADM (FlexHD).
Surgery 2: (4 months after her initial surgery) – Removal of tissue expanders and placement of permanent implant and internal bra using Gelaform Mesh and fat grafting.
Final implants – Sientra High profile 590 cc smooth silicone implants.