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.
