Risk Factors and Surgical Outcomes in Skin Sparing Mastectomy Followed by Immediate Bilateral Breast Reconstruction: A Case Report

This case report describes the experience of a 45‑year‑old patient with early‑stage bilateral invasive ductal carcinoma who underwent skin‑sparing mastectomy with immediate bilateral breast reconstruction using silicone implants. The patient had no significant comorbidities, and the tumors were located peripherally in both breasts without skin involvement or nipple‑areolar complex compromise. Detailed surgical planning was performed, preserving the skin flaps and placing subpectoral implants with intraoperative perfusion monitoring. The postoperative course was uneventful, with no necrosis, seroma, or infection, and the patient began early physical therapy for functional recovery. At six weeks, complete healing, adequate breast symmetry, and high aesthetic satisfaction were observed, and 12‑month follow‑up confirmed maintenance of results and absence of local recurrence. This case demonstrates that skin‑sparing mastectomy followed by immediate bilateral breast reconstruction is a safe and effective alternative that offers significant oncologic, aesthetic, and psychosocial benefits. Careful patient selection, meticulous surgical planning, and a multidisciplinary approach are key elements to optimize outcomes and minimize complications, significantly contributing to the patient’s quality of life and emotional well‑being.