Before and after bilateral immediate breast implant reconstruction in a 51-year-old woman with recurrent right breast cancer who chose to have a double mastectomy after two previous lumpectomies on the right. You can see staining on the right breast from injection of her tumor prior to lymph node removal. She required removal of her right nipple and areola at the same of her mastectomies; her left nipple and areola was able to be saved.
At the same time as her mastectomies, smooth round permanent and postoperatively adjustable breast implants were placed on top of the muscle, in the prepectoral position. They were inflated nearly all the way at the time of her reconstruction, with a single postoperative inflation in the office at one month after surgery.
Her saline-filled breast implants were replaced with silicone gel implants at her second procedure, during which time the right nipple was reconstructed using a left-to-right free nipple graft. Medical tattoo created a new areolar circle on the right, and her left nipple and areola was lifted to better match the right side. Tattoo was also used to brighten the color of the left areola for the best symmetry.
Follow up photos are shown 3 months after surgery, with very acceptable symmetry, despite a more extensive cancer excision on the right side.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
