Prepectoral Reconstruction

This patient developed right breast cancer and underwent bilateral nipple sparing mastectomies through wavy incisions just lateral to her nipples. 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 full appearance. She has since undergone additional fat grafting to help thicken her breast tissue envelope and camouflage the implant edges.