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48-year-old woman who had prophylactic bilateral nipple sparing mastectomy for BRCA gene positivity. She had two stage reconstruction with tissue expanders and Alloderm followed later by placement of Mentor High Profile Extra 490cc smooth round silicone implants with fat grafting. This result is one month post-operative. As you can see, a well done prophylactic nipple sparing mastectomy with reconstruction can actually improve the cosmetics of the breast and produce a result that rivals breast augmentation.

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