Capsular Fibrosis and Recurrent Local Infection Following Breast Reconstruction with a Latissimus Dorsi Muscle and an Implant: Removal of the Implant and Correction with Lipofilling

Fig. 53.1

(a, b) A 59-year-old patient had a history of mastectomy and radiation therapy for invasive breast cancer of the right breast

Fig. 53.2

(a, b) Two years after reconstruction with a latissimus dorsi flap and an implant. Following excision of an atheroma in the inframammary fold, recurrent infections resulted in a fistula connecting the skin and the implant pocket

53.2 Surgery

The fistula was excised and the implant was removed through the incision in the inframammary fold. Complete capsulectomy was done. A drain was placed in the former pocket. Fat was harvested from the abdomen using the Body Jet ^R Lipoaspiration system. 300 cc of fat was transferred into syringes and injected subcutaneously in the breast as well as in the latissimus dorsi flap. Antibiotics were given perioperatively and for another 3 days.

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