38 year old female, mother of two young girls was found to have DCIS in both breasts. She never palpated a mass but opted to undergo a mammogram prior to 40 for baseline. She opted to have bilateral nipple-sparing mastectomies with immediate tissue expander placement using an inframammary fold incision. Her final surgery was to remove her tissue expanders and place her permanent implants.
After expansion to a size she was happy with, she underwent removal of tissue expanders and exchange for permanent implants (555 Mentor MH/HP memory shape) with fat grafting to the superior/medial pole of the breast. She was very thin and knew there would be some rippling of her implants in time. Aggressive liposuction was performed from her only donor site, her flanks, to gain fat for grafting. Her final photos are 3 months after her last surgery and just over six months after her mastectomies.
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