51 year old caucasian female presented with newly diagnosed right breast cancer. Patient self palpated a right breast lump on the upper inner quadrant of her left breast. Being a vivacious single 51 year old, patient was extremely concerned of cosmetic results and desired to pursue a nipple sparing mastectomy. Below are her preoperative photos.

After mastectomy and Tissue expander placement

Patient underwent a nipple sparing mastectomy through the inframmary fold incision. Her final pathology returned back with positive skin margins at the right inner breast. She underwent an additional procedure in order to resect additional skin that still harbored breast cancer. Below are her photos after full tissue expander inflation before exchange to permanent implants. Note the scar on the inner upper aspect of the right breast where additional skin was resected.

1 year after placement of permanent implants

Tissue expanders were removed and placement of permanent anatomic shaped implants in a second surgery. Alloderm was also placed into both breast pockets in order to reinforce the reconstruction. Additional fat grafting was performed to improve contour, smooth out irregularities and to prevent rippling. She is seen below 1 year after placement of permanent implants.