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. 2019 Oct 23;2(1):ojz031. doi: 10.1093/asjof/ojz031

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© 2019 The Aesthetic Society.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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Figure 6. — A 50-year-old woman with remote history of right breast invasive ductal carcinoma and underwent a 2-stage reconstruction with a subpectoral saline implant and left breast Wise pattern reduction for symmetry. The patient presents now with recent diagnosis of ATM oncogene mutation and desired left breast reconstruction and right breast reconstruction revision. (A) Preoperative photograph. (B) Preoperative markings for rotated bell flap. (C) Postoperative on-table result. Left breast expander filled with 400cc of air. Right breast with prepectoral conversion to Allergan Natrelle Inspira Soft-Touch full profile 695cc silicone implant with acellular dermal matrix wrap. (D) Postoperative result 6 months after index surgery and 2 months after expander exchange for permanent silicone implant.