33-year-old mother presents with newly diagnosed left breast cancer. Biopsy returned back LCIS of the left breast and the patient elected for bilateral nipple sparing mastectomy with immediate DIEP flap reconstruction.

Surgery 1

Preoperative photos are shown above with the patient in 5 views. Nipple sparing mastectomy was performed through a vertical incision that skirted around the areola. She is seen below 2 months after her initial surgery with well-healed DIEP flaps in place.

Surgery 2

Patient\'s previous breast size was restored after the first initial surgery however, she desired to have more volume and better projection. She was offered to have implants placed behind both reconstructed breasts in order to achieve better shape and more volume. Patient is seen below after silicone implants have been placed under the DIEP flap. She is well-healed with better shape and projection and in overall good result. Patient is seen 6 months after placement of silicone implants.