Breast Implant and Alloderm with Nipple Reconstruction Mastectomy

36-year-old female with a diagnosis of left breast cancer. She was referred to our care from her breast oncology surgeon. She was certain she wanted to have a mastectomy but was unsure whether she wanted bilateral or unilateral mastectomy. Patient had a mammogram and ultrasound which led to findings. Patient then had an excisional biopsy on her left breast. Patient previously had breast augmentation surgery prior to her diagnosis. During her personalized consultation, Dr. Koch reviewed at length her breast cancer reconstruction options. Dr. Koch reviewed with her that having a nipple sparing mastectomy would depend on the surgical oncologist at the time of surgery. Patient did inform us at the time of consult that she would like to be bigger than she is currently. Patient states she works out significantly. We discussed putting the implants in front of the muscle and changing the position of the implants on the right breast. Patient's first surgery consisted of Left breast Mastectomy with Insertion of Breast Implant and Alloderm and we exchanged her breast implant on the Right breast. Following this initial surgery patient then had Left breast revision reconstruction with fat transfer and nipple reconstruction. The nipple reconstruction and fat transfer was performed 7 months from initial surgery. Patient will now have a tattoo to the nipple/areola on left breast if desired. More

36-year-old female with a diagnosis of left breast cancer. She was referred to our care from her breast oncology surgeon. She was certain she wanted to have a mastectomy but was unsure whether she wanted bilateral or unilateral mastectomy. Patient had a mammogram and ultrasound which led to findings. Patient then had an excisional biopsy on her left breast. Patient previously had breast augmentation surgery prior to her diagnosis. During her personalized consultation, Dr. Koch reviewed at length her breast cancer reconstruction options. Dr. Koch reviewed with her that having a nipple sparing mastectomy would depend on the surgical oncologist at the time of surgery. Patient did inform us at the time of consult that she would like to be bigger than she is currently. Patient states she works out significantly. We discussed putting the implants in front of the muscle and changing the position of the implants on the right breast. Patient's first surgery consisted of Left breast Mastectomy with Insertion of Breast Implant and Alloderm and we exchanged her breast implant on the Right breast. Following this initial surgery patient then had Left breast revision reconstruction with fat transfer and nipple reconstruction. The nipple reconstruction and fat transfer was performed 7 months from initial surgery. Patient will now have a tattoo to the nipple/areola on left breast if desired. More

36-year-old female with a diagnosis of left breast cancer. She was referred to our care from her breast oncology surgeon. She was certain she wanted to have a mastectomy but was unsure whether she wanted bilateral or unilateral mastectomy. Patient had a mammogram and ultrasound which led to findings. Patient then had an excisional biopsy on her left breast. Patient previously had breast augmentation surgery prior to her diagnosis. During her personalized consultation, Dr. Koch reviewed at length her breast cancer reconstruction options. Dr. Koch reviewed with her that having a nipple sparing mastectomy would depend on the surgical oncologist at the time of surgery. Patient did inform us at the time of consult that she would like to be bigger than she is currently. Patient states she works out significantly. We discussed putting the implants in front of the muscle and changing the position of the implants on the right breast. Patient's first surgery consisted of Left breast Mastectomy with Insertion of Breast Implant and Alloderm and we exchanged her breast implant on the Right breast. Following this initial surgery patient then had Left breast revision reconstruction with fat transfer and nipple reconstruction. The nipple reconstruction and fat transfer was performed 7 months from initial surgery. Patient will now have a tattoo to the nipple/areola on left breast if desired. More

36-year-old female with a diagnosis of left breast cancer. She was referred to our care from her breast oncology surgeon. She was certain she wanted to have a mastectomy but was unsure whether she wanted bilateral or unilateral mastectomy. Patient had a mammogram and ultrasound which led to findings. Patient then had an excisional biopsy on her left breast. Patient previously had breast augmentation surgery prior to her diagnosis. During her personalized consultation, Dr. Koch reviewed at length her breast cancer reconstruction options. Dr. Koch reviewed with her that having a nipple sparing mastectomy would depend on the surgical oncologist at the time of surgery. Patient did inform us at the time of consult that she would like to be bigger than she is currently. Patient states she works out significantly. We discussed putting the implants in front of the muscle and changing the position of the implants on the right breast. Patient's first surgery consisted of Left breast Mastectomy with Insertion of Breast Implant and Alloderm and we exchanged her breast implant on the Right breast. Following this initial surgery patient then had Left breast revision reconstruction with fat transfer and nipple reconstruction. The nipple reconstruction and fat transfer was performed 7 months from initial surgery. Patient will now have a tattoo to the nipple/areola on left breast if desired. More

36-year-old female with a diagnosis of left breast cancer. She was referred to our care from her breast oncology surgeon. She was certain she wanted to have a mastectomy but was unsure whether she wanted bilateral or unilateral mastectomy. Patient had a mammogram and ultrasound which led to findings. Patient then had an excisional biopsy on her left breast. Patient previously had breast augmentation surgery prior to her diagnosis. During her personalized consultation, Dr. Koch reviewed at length her breast cancer reconstruction options. Dr. Koch reviewed with her that having a nipple sparing mastectomy would depend on the surgical oncologist at the time of surgery. Patient did inform us at the time of consult that she would like to be bigger than she is currently. Patient states she works out significantly. We discussed putting the implants in front of the muscle and changing the position of the implants on the right breast. Patient's first surgery consisted of Left breast Mastectomy with Insertion of Breast Implant and Alloderm and we exchanged her breast implant on the Right breast. Following this initial surgery patient then had Left breast revision reconstruction with fat transfer and nipple reconstruction. The nipple reconstruction and fat transfer was performed 7 months from initial surgery. Patient will now have a tattoo to the nipple/areola on left breast if desired. More