Breast Reconstruction Case #307

Description:

This patient underwent nipple-sparing mastectomies followed by staged breast reconstruction. The initial reconstructive phase utilized tissue expanders placed at the time of mastectomy to preserve the breast skin envelope and nipple-areolar complex while gradually restoring volume.

After completion of expansion and appropriate healing, the patient returned for a second-stage procedure in which the tissue expanders were exchanged for permanent silicone gel implants. This final stage refined breast shape, contour, and symmetry while maintaining the nipple-sparing approach.

The postoperative images demonstrate the progression from the immediate post-mastectomy state through staged reconstruction to the final result with silicone implants in place, highlighting restoration of breast form within the constraints of oncologic safety and reconstructive planning.