Before and after bilateral prophylactic nipple-sparing mastectomy and implant reconstruction in a 47-year-old woman who was a carrier for the BRCA gene. Several of her family members had died from breast cancer or ovarian cancer, and she wanted to control her fate.
Her mastectomies saved all of her breast skin and her nipples and areolas through an incision hidden in the fold under her breast. At the same procedure, smooth round adjustable saline-filled breast implants were placed on top of the muscle, in the prepectoral position.
Her aesthetic goal for her breasts was to be fuller than her preoperative breast size – she was excited to consider this surgery as “a win-win” and her Mommy Makeover! The implants were filled to her desired volume over several weeks after surgery, and she was allowed to heal for six months and resume life as a single Mom before her final procedure was planned.
To provide her with the most natural looking and feeling results, the saline breast implants were exchanged for smooth round silicone gel implants at her final procedure, which was done as an outpatient surgery. At this final procedure, her left nipple was lifted subtly to better match the right side, and both nipples were “stabilized” through an incision at their base to correct mild floppiness.
Follow up photos are shown 6 months after her implant exchange and one year after her mastectomies.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
