The patient had bilateral mastectomies. After appropriately removing cancer on the left, relatively thin tissue coverage was necessarily left. After expansion, it was evident that there would be unavoidable contour irregularities. Before implant exchange and nipple reconstruction, the patient’s own fat was injected (fat grafting) to help improve the soft tissue coverage. The fat was well incorporated, provided padding over the implant, and improved the overlying skin texture and quality. Fat grafting has variable take and may need to be repeated for optimal results.
