49 year old Asian female presented to Memorial Plastic Surgery with newly diagnosed right breast cancer. Patient had noticed a mass over the course of two years that was slow growing and not painful. After being more concerned about the increasing size, she sought the attention of her OB/GYN who ordered a biopsy returning back infiltrating mucinous carcinoma. Patient chose to have both breasts removed and did not want reconstruction with implants and had a strong desire to use her own tissue. She was an excellent candidate for nipple sparing mastectomy through an inframammary fold incision and immediate DIEP flap reconstruction of both breasts.
This patient was completely in a single stage of reconstruction. Patient was able to achieve symmetrical breast mounds in a single stage and because of her nipple sparing mastectomy, did not require any further reconstruction. She had minimal contour irregularities, did not desire to seek any further revisions and returned back to her normal life in 3 months.
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