48 year old hispanic female presented with left breast cancer in the upper outer quadrant. Patient self palpated a mass while showering and her concerns brought her to her OB/GYN. After extensive workup with mammogram and ultrasound, the patient was diagnosed with infiltrating ductal carcinoma. After visiting with her breast surgeon, she was referred to Memorial Plastic surgery for immediate reconstruction after mastectomy. Patient elected to also have a right prophylactic mastectomy and although not a nipple sparing candidate, she was deemed a good areola sparing candidate. She was also an excellent candidate for DIEP flap reconstruction given her previous pregnancies and body habitus.
Patient is seen three months out after her initial mastectomy below. Symmetrical and stable breast mounds are seen after the first surgery with immediate reconstruction. Patient desired to have revisional surgery to increase breast projection and volume of her reconstructed breast.
Her first and only revisional surgery included aggressive liposuction of the abdomen and waist with fat grafting (injections) to the upper poles of both breasts. The nipples were reconstructed with modified CV flaps and implants were also placed under the DIEP flap and muscle to increase projection and volume. She is seen 1 year out from her final revisional surgery with good shape, symmetry and volume.
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