Fig. 40.1
(a–c) The 48-year-old patient had a history of prior mastectomy and immediate implant-based reconstruction with a dermoglandular flap of the left breast. A superior-based pedicle mastopexy was performed on the right breast for symmetrization. Due to multicentric intraductal carcinoma in situ found in the mastopexy specimen, a nipple-sparing mastectomy was planned. The breast was of medium size with moderate ptosis
40.2 Surgery
A nipple-preserving mastectomy using the previous scars from the mastopexy was performed. Intraoperative frozen section of the retroareolar tissue showed no tumor, and the areola was preserved. Immediate breast reconstruction was done with a 375 cc anatomical implant placed in the subpectoral position after release of the insertions of the pectoralis major muscle and covered with an acellular dermal matrix (ADM; Strattice®) in the inferior pole. Two drains were used (submuscular and subcutaneous pocket) and the wound was closed in two layers.
40.3 Clinical and Cosmetic Outcome
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Doughnut Lumpectomy: Caveat I
Oncoplastic Superior-Based Pedicle Reduction Mammoplasty and Defect Reconstruction with an Inferior Pedicle
Segment Resection of a Breast Cancer in the Submammary Fold Using a Vertical Reduction Technique
Correction of a Postlumpectomy Deformity Scar by Lipofilling
Nipple-Areolar Complex (NAC) Reconstruction: Good Case
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