43 year old African American female presented with newly diagnosed left breast cancer. Patient had screening mammogram performed demonstrating suspicious calcifications in the left breast. Workup returned back DCIS and patient elected to have both breasts removed. She desired to use her own tissue for reconstruction and the patient was deemed an excellent candidate for DIEP flap reconstruction.
The mastectomy and DIEP flap reconstruction was performed in a single stage to create a stable breast mound. After three months, the patient underwent her first revisional surgery which included additional implant augmentation under the DIEP flap, fat grafting to both breasts to improve contour, and nipple reconstruction with labial grafts. She is seen below after her first revisional surgery with acceptable symmetrical breast mounds with good shape and projection.
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 is seen 1 year out after the completion of her 3D tattoo with a stable reconstruction, symmetrical breast mounds and an acceptable result.
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