Nipple Sparing Reconstruction

This patient developed breast cancer and underwent bilateral nipple sparing mastectomies through an incision hidden in her lower, outer breast fold. She had immediate prepectoral (on top of the muscle) reconstruction with tissue expanders. She later underwent exchange to the latest generation, highly cohesive (gummy bear) smooth round silicone implants giving her desired fuller appearance. We plan future fat grafting which will help thicken her breast tissue envelope and camouflage the rippling common with prepectoral reconstruction.