43 year old caucasian female presented with newly diagnosed left breast cancer. Patient self palpated a breast lump at the 11 o\'clock position of the left breast. Subsequent workup returned back infiltrating ductal carcinoma. Patient elected for bilateral mastectomy with the right breast being removed for preventative measures.

Surgery 1

Patient had a bilateral mastectomy through a well concealed inframammary fold incision. Tissue expanders were placed in the breast pocket after the mastectomy. Tissue expanders were inflated on a weekly basis to the size that the patient desired. She expressed a strong interest in being a larger size and when acceptable for the patient, she underwent removal of both tissue expanders, placement of Alloderm to the lower pole for reinforcement and insertion of permanent anatomic (gummy bear) silicone implants. Patient is seen below with a stable reconstruction 6 months out.