Skin Sparing Reconstuction

Skin Sparing Mastectomies with Subpectoral Tissue Expansion and subsequent radiation

This patient developed left breast cancer. She was initially treated with chemotherapy to improve her tumor control. She subsequently underwent bilateral mastectomies via curvilinear ellipses to remove some extra skin and provide a subtle breast lift. She had immediate subpectoral tissue expander and Alloderm reconstruction. She was expanded to her final size and underwent adjuvant radiation treatment to her left breast. She is shown here 6 months afterwards at the completion of her radiation therapy. She was exchanged to smooth round highly cohesive (gummy bear) silicone implants. Additional release of scar tissue and radiation changes was undertaken on the left breast with a larger implant (Left SCX 495cc, Right SCX 445cc) placed to try and combat anticipated ongonig radiation changes to the left breast.