(a) This patient had previously undergone a central wide local excision and nipple reconstruction at the age of 47. Although the contour of the right breast is similar to that of the left, there is a relative lack of projection and the breast has a blunted appearance. (b) Autologous fat transfer, in the form of lipomodelling, successfully fills the defect from previous surgery. The patient also received a subdermal silicone areola prosthesis to improve projection of the reconstructed nipple.
