Nipple Sparing Mastectomy and "Scarless" Latissimus/Expander Breast Reconstruction

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50-year-old patient presented with T1 N0 left breast cancer. She was deemed a candidate for nipple sparing mastectomy and underwent bilateral mastectomy and immediate reconstruction utilizing a portion of the latissimus muscle and a tissue expander, utilizing the lateral mastectomy incision only, without any back scars. 9 months later the expander was exchanged for a high profile silicone implant of 500 cc. Note that there are no back scar on the back view.

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