Case Details
77 yo female with right breast cancer. She would require a nipple sparing mastectomy for treatment. Reconstruction consisted of a two-stage expander to implant reconstruction. At the time of the mastectomy, a tissue expander was placed in a prepectoral position (on top of the muscle). The expander was inflated in the office over time and then exchanged to a Mentor 490cc MPX silicone gel implant. Fat transfer was performed in the upper breast to improve the appearance. Good symmetry with the native left breast was achieved.

Before

After
Description: Placement of a tissue expander in the right breast following nipple sparing mastectomy.

Before

After
Description: Replacement of the expander to an implant with upper breast fat transfer. Notice the contour issues present with the expander have mostly been resolved with the implant.