44 year old ICU nurse and mother of two presented with left breast cancer. Patient had a screening mammography performed demonstrating suspicious calcifications in the right breast. Stereotactic biopsy returned back infiltrating ductal carcinoma. She elected to have a bilateral mastectomy and immediate DIEP flap reconstruction after visiting with her breast surgeon and surgeon at Memorial Plastic Surgery.

Surgery 1

Skin sparing mastectomy was performed along with immediate DIEP flap reconstruction. Patient is seen below six months out after the initial surgery. She had to undergo chemotherapy after mastectomy and progression of her reconstruction was delayed until she was done with chemotherapy. She has stable symmetrical breast mounds still proportional to her body.

Surgery 2

Revisional surgery was performed in the second surgery to fat graft both breasts and nipple reconstruction with modified CV flaps. 3D tattoo was performed in office to finish her reconstruction. She is seen below with a stable reconstruction one year out from her last revisional surgery.