Do you also perform prophylactic mastectomy?

Breast reconstruction with fat grafting and EVE is ideal for women who wish to have a prophylactic mastectomy. At the Miami Breast Center we have performed over 100 prophylactic mastectomies with immediate fat graft reconstruction. At the time of the mastectomy we are able to place enough graft to give the patient a small “social breast”, or cleavage in the upper pole. Then 2-3 months later, once the mastectomy has healed, we apply the EVE for a couple of weeks to enlarge the recipient and stretch the skin. This creates a scaffold and the envelope for the first grafting session. Then, if the patient wants a larger breast, three months later we expand and graft again. After this second grafting session most women end up with a breast just like the original one. A breast made out of transferred fat only and devoid of the breast tissue that might become cancerous. Most impressively, the spared nipple regains near normal sensation.