Areolar Sparing Reconstruction

This patient was found to have a genetic mutation placing her at high risk of breast cancers. She previously underwent lumpectomy for a concerning right breast lesion, and later was found to have a left breast cancer. She thus underwent bilateral areolar-sparing mastectomies via small wavy incisions that removed only the projecting part of her nipple for cancer reasons. Dr. Geiger performed immediate prepectoral (above the muscle) reconstruction with highly cohesive (gummy bear) smooth round silicone implants giving her a very nice shape and slightly fuller appearance. Her remaining areolar tissue allows her to feel whole again without worrying about a nipple protruding through her clothing. She has added oncologic (cancer) benefit of no remaining ductal tissue to further decrease recurrence risks.