43 year old hispanic female presented with left breast cancer. She felt a lump in the upper outer quadrant of her left breast and workup then returned back invasive ductal carcinoma. Patient underwent chemotherapy first (neoadjuvant) in order to shrink the tumor and then elected for both breasts to be removed. She also desired to be of smaller size and was deemed a good candidate for direct to implant reconstruction with Alloderm sling.

Surgery 1

Patient underwent bilateral mastectomy with direct to implant immediate breast reconstruction. A permanent anatomic (gummy bear) implant was placed with a lower pole Alloderm sling for a single stage immediate reconstruction. She is seen below with well healed incisions and a symmetrical breast mound on both sides 4 months out.

3D Tattoo

The 3D tattoo is done in the office and does not require any anesthesia. Nipple and areola pigmentation brings the entire breast reconstruction to life. This patient is seen 6 months out after the completion of her 3D tattoo with a stable reconstruction, symmetrical breast mounds and an acceptable result.