31 year old woman with BRCA 1+. To reduce her lifetime risk of breast cancer, she was choosing to have bilateral areolar sparing mastectomies (remove the nipples, but leave the areolas). We discussed reconstruction options and she chose direct to implant reconstructions with submuscular silicone gel implants. 405cc MPX silicone gel implants provide a natural reconstruction in this patient.
Gallery of Breast Reconstruction
Plastic Surgeon Serving Boca Raton, Delray Beach, Fort Lauderdale and Nearby West Palm Beach
50 year old patient with left breast cancer. She would require a left mastectomy and post mastectomy radiation therapy. Reconstruction planning was for a two-stage reconstruction on the left with an expander followed by an implant. For the right breast, a reduction at the time of final implant placement for symmetry. The left implant is a submuscular 440cc MPX silicone gel implant. Overall, good symmetry particularly given the radiation to the left side.
72 year old patient with bilateral breast cancer. Her cancer surgery required a right mastectomy and left lumpectomy. Preoperative photos show a large bruise from her biopsy on the right side. She was going to need post mastectomy radiation therapy to the right breast. A challenging reconstruction to achieve symmetry. The breasts were asymmetric to begin with, she would require skin removal over the tumor on the right hand side, and the radiation results would be unpredictable. Reconstruction was performed with a left breast oncoplastic breast reduction (a reduction at the time of tumor removal) and a two-stage expander to implant reconstruction on the right side. The final implant on the right is a 405cc MPX silicone gel implant. Fat transfer was also performed on the right to the upper breast for symmetry.
38 year old patient with right sided breast cancer. Her goals from reconstruction were to maintain the same breast size but improve the shape with more fullness in the upper breasts. Plan for reconstruction consisted of a direct to implant (at the same surgery as mastectomy) reconstruction with silicone gel implants under the muscles. 350cc HP silicone gel implants. She did very well from the procedure. The patient did benefit from an additional fat transfer procedure to smooth out the upper breast after the original surgery had healed. The results are natural appearing breasts with more fullness that do not appear to be a reconstruction.
53 year old patient with invasive breast cancer on the left side. She would require a left mastectomy (areolar sparing), chemotherapy, and post mastectomy radiation. Her reconstruction was performed in two-stages with an expander followed by an implant. She responded extremely well to the radiation with minimal tightness or distortion to her reconstruction. Final implant is a Mentor 325cc MPX silicone gel implant. She did not have any surgery on the right side. Final results show excellent symmetry. A nipple transfer may be done in the future where a portion of the right nipple is shared to reconstruct the left.
51 year old female with right breast cancer who was choosing to have a bilateral nipple sparing mastectomy. Reconstruction consisted of prepectoral (on top of the muscle) implants in a single stage at the time of the mastectomies. Her implants are 700cc MHX silicone gel implants. The final results show a more aesthetic breast with improved fullness and no evidence of rippling. For these prepectoral reconstructions, adequate soft tissue coverage of the implants is important to avoid rippling in the final result.
40 year old patient with genetic predisposition for breast cancer. Opting for bilateral prophylactic nipple sparing mastectomies. Patient chose prepectoral (on top of the muscle) reconstruction. Performed in one stage with 325cc MPX silicone gel implants. She did very well from the procedure with mild rippling present in the upper breasts. This can be improved with fat transfer at a later time.
38 yo female with a right breast cancer. She underwent bilateral nipple sparing mastectomies through incisions in the breast crease. A direct to implant reconstruction under the muscles with 350cc HP Mentor silicone gel implants and dermal matrix support. The implants provide a natural appearance and the final results do not look like a "mastectomy and reconstruction."
71 yo female with a left breast cancer. She required a left mastectomy and wanted to avoid any surgery on the right side if possible. Her reconstruction consisted of a submuscular 450cc MP+ Mentor silicone gel implant with dermal matrix support. The result matches her preoperative appearance and surgery on the right side was avoided.
50 yo female with a diagnosis of left breast cancer. She underwent bilateral nipple sparing mastectomies with direct to implant reconstruction under the muscles with dermal matrix support. Her implants are 350cc HP Mentor silicone gel implants. The combination of nipple sparing mastectomies and the hidden scars in the breast crease lead to a superior cosmetic result.
