Patient 18
Breast Reconstruction

54 year old woman. 5’7” 180 lbs. Underwent left mastectomy for infiltrating lobular carcinoma 10 years prior. With another surgeon, she had immediate submuscular tissue expander reconstruction, followed by placement of a gel implant. She subsequently had 2 separate implant exchanges over the following 6 years to gain symmetry following weight gain. She now presents with lack of projection and lower pole fullness, no definition of inframammary fold, and synmastia. Her implant was converted to the prepectoral position, and SPY was used to confirm vascularity. A Mentor Xtra 685cc moderate plus profile gel implant was placed. Discussed fat grafting to better contour upper pole of her left breast, revising her areola tattoo, but patient is happy at this time. Photos taken 9 months postoperative.