Nipple Sparing Mastectomy and Immediate Implant Reconstruction with an Acellular Dermal Matrix (ADM)
A 44-year-old premenopausal patient had multiple suspicious microcalcifications in the upper outer and upper inner quadrants of the left breast found in routine mammography. Vacuum needle biopsy confirmed a high-grade intraductal carcinoma in situ. The possible treatment options (breast conservation surgery and radiation or mastectomy and immediate reconstruction) were discussed with the patient and she decided for mastectomy. The breast was of medium size with moderate ptosis with the left nipple-areola complex (NAC) slightly lower compared to that of the right breast (Fig. 39.1a, b).