39 year old hispanic female presented with a palpable breast mass. Breast mass was slowly growing and she presented to her OB/GYN for further evaluation. Imaging and biopsy returned back infiltrating ductal carcinoma. A coordinated approach with her breast surgeon offered the patient a nipple sparing mastectomy through an incision along the fold for optimal results. Incision would be well hidden underneath the breast and tissue expanders were placed in her first surgery at the time of the mastectomy.

1 year postop

After tissue expanders were inflated to the size the patient desired, she underwent removal of tissue expanders, placement of Alloderm to the lower pole for reinforcement, and placement of anatomic (gummy bear) implants. Additional fat grafting was also performed to the upper pole of both breasts to produce a smoother contour and transition from skin to implant. She is seen 1 year out with a stable reconstruction.