Areolar Sparing Reconstruction

This patient developed metastatic left breast cancer. She underwent bilateral areolar-sparing mastectomies via small horizontal incisions that removed only the projecting part of her nipple for cancer reasons. Dr. Geiger performed reconstruction by first placing tissue expanders underneath her muscles as she desired to be larger and more full if possible. She then underwent chemotherapy and radiation therapy to finish her cancer treatments. The expanders were exchanged for smooth round highly cohesive (gummy bear) silicone implants 6 months after completion of radiation. Here she is 6 months later looking great with a fuller appearance as desired. Her remaining areolar tissue allows her to feel whole again without worrying about a nipple protruding through her clothing. The left breast has tightened and elevated slightly due to radiation changes.