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.
