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Case-4842 Case-4842

49-year-old female with breast cancer who underwent bilateral total skin sparing mastectomies is shown after breast reconstruction. A single periareolar incision was used. Immediate reconstruction using tissue expanders, acellular dermal matrix (Alloderm) was performed during the first stage. The second stage consisted of placement of a permanent silicone implant with autologous tissue fat transfer. This woman is shown 4 months after second stage reconstruction and is pleased with her results.