60 year old hispanic grandmother of 3 presented with left breast cancer. Patient underwent her yearly mammogram demonstrating suspicious calcifications in the left breast. She elected to have bilateral mastectomy with immediate DIEP flap reconstruction and was offered areola sparing mastectomies to optimize cosmetic outcome.
Patient underwent a successful immediate DIEP flap reconstruction of both breasts with symmetrical breast mounds. Her second surgery was performed three months after her initial mastectomy and included aggressive liposuction of the abdomen and waist line for better contour in addition to nipple reconstruction with free ear lobe grafts. The fat that was liposuctioned from her waist and abdomen was grafted (injected) to the breasts and upper pole. Injected fat produced more volume and projection which the patient desired. She is pictured below one year out after completion of her reconstruction.
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