48 year old insulin dependent diabetic presented with newly diagnosed left breast cancer. A screening mammography demonstrated suspicious calcifications of the left breast. Subsequent stereotactic biopsy returned back DCIS. Patient expressed a strong desire for both breasts to be removed and was deemed a good candidate for immediate DIEP flap reconstruction.
Incisions were confined to the areola and the nipple areolar complex was removed with the breast specimen. The breasts were then immediately reconstructed with DIEP flaps. Patient is seen below three month after initial mastectomy surgery.
Nipples were reconstructed by way of modified CV flaps and fat grafting to both breasts was also performed in order to improve the upper pole of the breasts.
The 3D tattoo is done in the office and does not require any anesthesia. The finishing touches that brings a completed reconstruction to life include the pigmentation to restore the areolar color. This patient seen below is 6 months out after the completion of her 3D tattoo with a stable reconstruction, symmetrical breast mounds and an acceptable result.
Patient is seen below with a stable reconstruction 2 years out from completing her tattoo.
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