Prepectoral Reconstruction

This patient developed left breast cancer and underwent bilateral skin sparing mastectomies through horizontal ellipse incisions. She had immediate prepectoral (on top of the muscle) reconstruction with tissue expanders. The tissues were stretched as she completed chemotherapy. She later underwent exchange to the latest generation, highly cohesive (gummy bear) smooth round silicone implants giving her added fullness and a great appearance in addition to treatment of her cancer.