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Image obtained one year after nipple-sparing mastectomy with immediate deep inferior epigastric perforator flap breast reconstruction.
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She underwent nipple-sparing mastectomy (NSM), sentinel node biopsy (SNB) performed by a breast surgeon and breast reconstruction with a de-epithelialized DIEP flap using thoracodorsal vessels as recipient vessels performed by a plastic surgeon (Figure 1).
Image obtained after salvage mastectomy with simultaneous tissue expander placement.
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As the patient desired to undergo autologous breast reconstruction again, extensive extirpation of the nipple-areola, breast skin including the buried DIEP flap and initial breast reconstruction with an anatomical tissue expander (TE) were performed at another hospital (Figure 2).
Image obtained one year after the second breast reconstruction using a superior gluteal artery perforator flap.
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Although the right reconstructed breast appeared both upper pole fullness and lower pole skin shortage, the patient did not desire further surgery (Figures 3 and 4).
Image of the donor site one year after the second breast reconstruction.
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Although the right reconstructed breast appeared both upper pole fullness and lower pole skin shortage, the patient did not desire further surgery (Figures 3 and 4).