Bilateral autologous breast reconstruction for a patient with metachronous bilateral breast cancer.

<p>A 46-year-old patient diagnosed with metachronous bilateral breast cancer. Mastectomy was previously performed on April 15, 2006 for invasive ductal carcinoma in the right breast. A second primary invasive ductal carcinoma was diagnosed on December 24, 2010, and a skin-sparing mastectomy with immediate reconstruction with a deep inferior epigastric perforator flap was performed on the left breast. This procedure was accompanied by a delayed reconstruction with a superficial inferior epigastric artery flap performed on the right breast. Bilateral nipple-areola reconstruction and tattooing was performed 9 months later. (A) A frontal view of the patient before management of the second primary tumor; (B1-3) an 18-month postoperative view after breast reconstruction.