52 year old happily married Asian female presented to Memorial Plastic Surgery with right breast cancer. Patient first noticed a lump in her right breast which after workup revealed invasive ductal carcinoma. She underwent chemotherapy first in order to shrink the tumor (neoadjuvant chemotherapy). After reducing her tumor size, she was evaluated for immediate reconstruction after a right mastectomy. Patient was also deemed a good nipple sparing candidate based upon her tumor size and distance from the nipple. She was also deemed a good DIEP flap reconstruction candidate given her previous pregnancy and excess skin and fat in her lower abdomen.

Surgery 1

A nipple sparing mastectomy was then performed through an inframammary fold incision and an immediate reconstruction of her right breast with DIEP flap. Her incision on the right breast is well concealed and her reconstruction was successfully completed in a single stage. Patient also achieved the benefit of a tummy tuck resulting in a flatter abdominal profile.