Case of the Month – February 2011 – Nipple Sparing Mastectomy

The patient presented with a one sided, isolated breast cancer.  She desired nipple sparing mastectomy and her general surgeon felt the procedure was oncologically sound ( safe cancer treatment ) for her.  She therefore had a nipple sparing mastectomy with immediate reconstruction using an expander and acellular dermis for improved lower pole coverage.  After several months of passive stretching of the skin and controlled lowering of the expander, she was ready for exchange to a final silicone implant.

First, note that the patient has a pre op A cup breast with relatively little droop.  Second, note that the expander starts in a high position and that the breast does not immediately look attractive.  Third, note that after patient expansion, the breast envelope has been reshaped and that the patient now looks very similar to a breast augmentation with improved size and fullness.

pre mastectomy AP
pre mastectomy AP
pre mastectomy oblique
pre mastectomy oblique
pre mastectomy lateral
pre mastectomy lateral
post mastectomy / expander AP
post mastectomy / expander AP
post mastectomy / expander oblique
post mastectomy / expander oblique
post mastectomy / expander lateral
post mastectomy / expander lateral
post implant exchange AP
post implant exchange AP
post implant exchange oblique
post implant exchange oblique
post implant exchange lateral
post implant exchange lateral

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