Breast Reconstruction Gallery Patient 149284174

Implant reconstruction is the most common type of breast reconstruction performed following a mastectomy. Often, this is performed in a staged setting with a temporary implant (tissue expander), followed by exchanging the expander for a permanent implant several months later. However, some women can skip the expander and go immediately direct to implant (DTI) reconstruction. This is dictated by the oncologic safety and aesthetics of the breasts prior to mastectomy. Women diagnosed with a genetic susceptibility to breast cancer (BRCA), favorable cancer biology, and prophylactic mastectomies are some of the more common DTI candidates. Radiation after mastectomy often excludes you from being a DTI candidate. I love DTI reconstruction, because you go to sleep with breast cancer and wake up cancer free with reconstructed breasts that resemble your pre-operative anatomy!
 
This wonderful mama was an excellent candidate for DTI based on her tumor and pre-operative anatomy. She wanted to have roughly the same size breasts and restore some superior pole volume loss after breast feeding. Dr. Aimee Mackey @aimeemackey of #texasoncology performed bilateral nipple-sparing mastectomies. The mastectomies were done through inframammary fold incisions, like a cosmetic breast augmentation, although slightly longer. The implant is wrapped with a protective barrier and placed on top of the pectoral muscle. Here she is 3 months out from surgery. She loves her reconstructed breasts and better yet, she is cancer free!     

Performed By: Chris Schneider, MD