Skin Sparing Reconstruction

This patient developed bilateral breast cancers and underwent bilateral mastectomies via horizontal ellipses to remove some extra skin and provide a subtle breast lift. She had immediate subpectoral tissue expander and Alloderm reconstruction. After completion of her chemotherapy, the expanders were exchanged to highly cohesive (gummy bear) smooth round silicone implants. This was followed by later fat grafting and pocket adjustments.