This 60 year-old female presented with right breast invasive ductal carcinoma. She underwent bilateral skin-sparing mastectomy and simultaneous deep inferior epigastric artery perforator (DIEP) flap reconstruction. The patient had asymmetry and ptosis (drooping) of both breasts that was corrected. Nipple reconstruction and micropigmentation (3D nipple and areola tattooing) was performed.
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