PMC4925445_01
50 year old female with two sisters deceased from breast cancer and history of multiple breast biopsies demonstrating atypia. She has smaller breasts and requires lifelong anticoagulation secondary to a history of multiple DVT and PE.
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In addition, her breast size was smaller (Fig. 1) making repeated surgical breast biopsies deforming.
Preoperative Wise mammoplasty marking designed to safely maximize the distance between the vertical limbs to increase the amount of deepithelialized skin and underlying subcutaneous tissue that will be involuted and used to create a breast mound after a bilateral mastectomy is performed.
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Wise mammoplasty markings were designed with plans to narrow the width of the breast in order to maximize the amount of involuted tissue made available to reconstruct a breast mound (Fig. 2).
Seven month post-operative result after bilateral mastectomy and single stage autologous reconstruction with free nipple grafts performed in 2.5 h (both resection and reconstruction). Her final breast volume can be safely augmented in the future with lipotransfer.
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Her final result one month after surgery is demonstrated in Fig. 3.