This 54-year-old woman had left breast cancer. She opted for bilateral Nipple Sparing Mastectomy (through the inframammary fold) and Zenn Delay reconstruction. One week after her mastectomy, before her reconstruction, pathology revealed a positive margin. This was removed during her bilateral reconstruction. One week later, that pathology showed an additional positive skin margin, and further skin resection was required. This was accomplished by excising an ellipse of skin above the nipple. Thanks to the delay effect of the Zenn Delay, pathology surprises can be addressed at reconstruction and if extra skin or the nipple needs to be removed, the breast skin is strong enough to survive it.
Photo 1A: Pre-operative (before mastectomy and reconstruction)
Photo 1B: One week after Zenn Delay reconstruction, with enhanced shape and aesthetics.
Photo 1C: Hashed area shows the positive margin. Skin excision to remove the area and maintain shape.
Photo 1D: Her final result, shown two months post-surgery, with beautiful shape and aesthetics.