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This patient underwent bilateral nipple sparing mastectomy and DIEP flap reconstruction combined with a small implant.  The benefit of a “hybrid” reconstruction is the ability to maintain the soft look and feel of a natural breast, achieved with the DIEP flap and augment volume and projection using a very small implant under the flap, similar to an implant placed for augmentation purposes.  This patient desired the DIEP flap but wished to maintain the volume of her natural breast which she chose to achieve by addition of a small implant.

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