Bilateral mastectomy is a common procedure to treat breast cancer. Occasionally, if a patient has breast cancer in one breast, they may opt to undergo a prophylactic mastectomy on the other breast. In a patient who has breast ptosis or a droopy breast, it may be difficult to try to spare the nipple areola complex. In patient with ptotic breasts, we often perform an inverted – T pattern mastectomy. The inverted T mastectomy removes the nipple areola complex and allows for a better breast shape in the reconstructed breast.
The photograph demonstrates before and after bilateral mastectomy and implant removal and implant based breast reconstruction. The patient underwent a two stage reconstruction with the first stage being the mastectomy and insertion of tissue expanders. The second stage involved removal of the tissue expanders and insertion of bilateral mammary prosthesis.
