This patient underwent bilateral skin-sparing mastectomies and immediate breast reconstruction with latissimus flaps and tissue expanders. The tissue expanders were replaced with silicone implants at a second procedure and the nipple-areolar reconstructions were performed at the same time. Nipple-areolar tattooing was performed as an office procedure to complete the reconstruction.

This patient underwent right skin-sparing mastectomy and immediate reconstruction with a latissimus flap. She had previously undergone lumpectomy and radiation on the left side. Nipple-areolar reconstruction, left mastopexy (breast lift) was performed at the second stage. Right nipple-areolar tattooing was performed as the final stage under local anesthetic in the office.