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Case-3327 Case-3327

52 year old female with breast cancer who underwent bilateral total skin and nipple areolar sparing mastectomies with immediate single stage direct to implant reconstruction. The mastectomy and reconstruction were performed through an extended periareolar incision. Smooth round moderate plus profile silicone implants were placed beneath the pectoralis major muscle. The lower portion of the breast was reconstructed with an Alloderm (aceullar dermal matrix) sling. The patients is shown 5 months after surgery.