PMC5051553_01
Frontal view. Patient with a previous left supero-lateral quadrantectomy and lymphadenectomy underwent left skin sparing mastectomy (SSM) and immediate DIEP flap reconstruction and contralateral mastopexy.
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The finding of positive margins of resection required a skin-sparing mastectomy (SSM), with immediate DIEP flap reconstruction and contralateral mastopexy (Figure 1) 1 month later.
Frontal view. After a wide excision of a local recurrence at the supero-lateral quadrant border of the flap 4 years after flap transfer, a progressive venous congestion involving the whole flap was observed during the immediate postop, because of the sacrifice of vein pedicle.
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A slowly progressive vein congestion, involving the entire breast skin, was observed 2 h after the surgical procedure (Figure 2).
Frontal view 5 months after surgery. After 5 days, the flap slowly regained its normal aspect and follow up showed no liponecrosis.
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No clinical or ultrasound presence of liponecrosis were found at 5 months follow-up, with an optimal aesthetic outcome (Figure 3).