Case Study – Nipple Sparing Mastectomy with Immediate Breast Reconstruction

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This 28yr old previously well patient presented with a 2.5cm breast cancer in the upper outer apect of the left breast. She was very concerned about not only treating the breast cancer but also maintaining the appearance of her breasts, avoiding radiotherapy and reducing the need for ongoing mammograms and MRI scans. That is why she elected to undergo bilateral (both sides) nipple sparing mastectomy and immediate direct to implant reconstruction.

Incision inframammary fold (under the breast); Implant size 440cc Mentor CPG 323 anatomic (teardrop); Implant sling created using Strattice porcine dermis. Mini-lift performed at the same time to reposition nipple above the inframammary fold giving a more youthful looking fuller breast. Sentinel node biopsy also performed at the same operation through the same incision.

Before and After Surgery