Bilateral Immediate Prepectoral Breast Reconstruction with Tissue Expanders Following Nipple-Sparing Mastectomy

This 39 year-old female was diagnosed with left sided breast cancer. Because of her high risk of developing breast cancer on the opposite side, she opted for bilateral mastectomies. The removal of the breast tissue was performed through an incision on the bottom of the breast (i.e. the inframammary fold). In order to prevent the animation deformity that is sometimes seen in submuscular breast reconstruction, the MENTOR® ARTOURA™ Breast Tissue Expanders were placed in the prepectoral position and covered with Alloderm. Several months later, the expanders were replaced with the most advanced, new MemoryGel™ XTRA silicone implants. A small amount of fat transfer to help contour the upper portion of the breast was performed as a minor procedure several months later. Postoperative result at 1 year shows excellent symmetry and shape, preservation of the nipple tissue, all designed to the patient’s desire to also increase breast volume.