Two staged breast reconstruction following prophylactic bilateral subcutaneous mastectomy  A.M. Yiacoumettis  British Journal of Plastic Surgery  Volume 58, Issue 3, Pages 299-305 (April 2005) DOI: 10.1016/j.bjps.2004.11.004 Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 1 (A) Pre-operative anterior view of a 35-year-old patient with LICS—the limit of the glandular resections is outlined. Further dissection towards the axilla is possible as indicated by the second doted line on the left axillary tale. Biopsy scar is evident on the inner half of the left breast. (B) Pre-operative oblique view of the patient. (C) Post-operative anterior view three years after BSCM through inframammary approach and reconstruction by tissue expansion in two stages. (D) Post-operative lateral/oblique view of the same patient. British Journal of Plastic Surgery 2005 58, 299-305DOI: (10.1016/j.bjps.2004.11.004) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 2 (A) Design of skin reduction-subcutaneous mastectomy in a 48-year-old patient with family history of breast cancer. (B) Skin flaps following subcutaneous mastectomy and inferior derma-fat flap baring the NAC. (C) Anterior view of the same patient, following reconstruction by tissue expansion in two stages, 5 years after the operation. Partial loss of the left NAC was followed by reconstruction with a free full thickness skin graft from the genito-femoral crease. (D) Oblique view of the same patient. British Journal of Plastic Surgery 2005 58, 299-305DOI: (10.1016/j.bjps.2004.11.004) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

Figure 3 (A) Pre-operative view of patient to undergo BSCM for multiple microcalcifiacations and family history of breast cancer. (B) Lateral view of the same patient. (C) Same patient, 10 years later following BSCM. Two stage reconstruction by tissue expansion and silicone breast implants. (D) Lateral/oblique view of the same patient. British Journal of Plastic Surgery 2005 58, 299-305DOI: (10.1016/j.bjps.2004.11.004) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions