Skin Sparing Reconstruction

This patient developed bilateral breast cancers. She initially underwent bilateral lumpectomies but the tumors were unable to be cleared. She thus elected to undergo double mastectomies through horizontal ellipses, incorporating her lumpectomy scars. She had immediate subpectoral tissue expander and Alloderm reconstruction. This was followed 3 months later by exchange to highly cohesive (gummy bear) smooth round silicone implants. She later had additional fat grafting to smooth the implant contours. 3-D nipple tattooing was performed by Kerry Soraci