Nipple Sparing Reconstruction

This patient developed left breast cancer. She underwent nipple sparing mastectomy through a lower breast fold incision. She had immediate subpectoral (under the muscle) tissue expander placed with an Alloderm sling for support. She had delayed recovery of her left nipple after the mastectomy, but was ultimately able to be expanded to a larger size as desired. The expander was later exchanged to the latest generation, highly cohesive, smooth round silicone implant. She had a concurrent right breast augmentation for enhanced symmetry, giving her a very nice, slightly fuller appearance.