Pre-pectoral implant breast reconstruction in a BRCA 1+ 26 year old patient.

This 26 year old woman has a strong family history of breast cancer and was BRCA 1 +. She also wanted to be slightly larger in size. We elected to use the IMF incision because it can be hidden well in a bikini. We decided on a pre-pectoral approach for the implant reconstruction because she had adequate subcutaneous tissue to cover the implant and was an active tennis player. We decided on an Allergan SCM 375 cc highly cohesive gel implant. She did remarkably well and was back to playing tennis within a month.