Fig. 5. A case of tailored mammaplasty.

(A, B) Preoperative pictures of a 45-year-old right-breast cancer patient for whom right nipple-sparing mastectomy, one-stage immediate reconstruction, and contralateral tailored reduction/augmentation mammaplasty were planned. No breast ptosis. (C, D) Three-month postoperative pictures after right nipple-sparing mastectomy through a radial lateral incision (mastectomy specimen 160 g) and implant reconstruction with a Silimed hyper-projected anatomical implant (Nuance 350 mL; Silimed International, Rio de Janeiro, Brazil). Contralateral tailored reduction/augmentation mammaplasty was performed via a periareolar scar, as well as dual-plane augmentation with an Allergan Natrelle 410ML 220 g (Allergan Inc., Irvine, CA, USA) implant, base reduction (specimen weight 35 g), and circumareolar skin resection with interlocking suture.