Tissue Expander/Implant Breast Reconstruction

This petite, young woman showed up with a left breast cancer. It was treated by a skin and nipple sparing mastectomy and tissue expander breast reconstruction. Fluid was gradually added to her tissue expander over a five month period. At that point an out patient surgical procedure involved removal of her tissue expander, insertion of her permanent anatomically shaped gel breast implant and an opposite sided breast augmentation. The implants used were anatomically shaped gel with different profiles and sizes to achieve the best symmetry possible. She is only a couple of months out from her last procedure and looks like she simply had a bilateral breast augmentation.


This 40 year old woman had bilateral nipple sparing mastectomies for breast cancer. At the same time she had tissue expander and acellular dermal matrix breast reconstruction. Fluid was added gradually to her tissue expanders over the next few months. Then they were replaced with anatomically shaped silicone gel breast implants. Fat grafting was added to the superior aspect of each breast to soften the contours of the breasts. Her post operative photos show her at 6 months following her second surgery.