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Breast Reconstruction Using Tissue Expanders, Aceullular Dermal Matrix, and Permanent Implants Patient 21

46-year-old woman underwent bilateral total skin sparing mastectomy for breast cancer. Immediate reconstruction was performed with tissue expanders and acellular dermal matrix (Alloderm). Second stage reconstruction was performed with a permanent silicone implant. This patient is shown 5 months after second stage reconstruction.