Prepectoral Breast reconstruction and nipple reconstruction; Raleigh NC
This is a 63-year-old woman who presented with an abnormal mammogram and also nipple changes on the right breast. She was found to have a fairly large area of abnormal calcifications and biopsy concluded that she had a right breast cancer. She underwent neoadjuvant chemotherapy which is a technique in which chemotherapy is administered before mastectomy in an effort to reduce the tumor burden. She then underwent a right mastectomy with sentinel lymph node and immediate reconstruction with a tissue expander and allograft placed in the prepectoral position. (above the muscle). Fortunately, radiation therapy was not necessary postoperatively. She then underwent implant exchange-Removing her right tissue expander and replacing it with a silicone gel breast implant. She also had a balancing left mastopexy for symmetry. Skin removed during the mastopexy was utilized to create a nipple areolar reconstruction known as a skate flap. Insurance covers contralateral breast surgery to achieve symmetry as well as nipple reconstruction. These procedures are usually performed during second or third stage after the initial mastectomy. The patient now has a reasonable symmetry and natural appearing breast reconstruction. She has done well after her chemotherapy and has no signs of disease.More
Note inverted nipple on the right side- a sign of breast cancer. Post op "after" is a reconstructed nipple areola with skin graft More
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