Skin Sparing Reconstuction
Bilateral Skin Sparing Mastectomies, Subpectoral Expander to Smooth Round Silicone Reconstruction.
This patient developed right breast cancer and underwent bilateral mastectomies via horizontal ellipse. She had immediate subpectoral tissue expander and Alloderm reconstruction. She was expanded larger than her preoperative breasts for the fuller appearance she desired. This was followed 3 months later by exchange to highly cohesive (gummy bear) smooth round silicone implants (Natrelle SCX 800cc) and fat grafting.