Skin-Sparing Mastectomy and Immediate Implant Breast Reconstruction with an Acellular Dermal Matrix (ADM) Following Nipple-Areola Complex Reconstruction

  • Vesna Bjelic-Radisic


A 48-year-old patient underwent skin-sparing mastectomy for multicentric intraductal carcinoma in situ of the left breast. Immediate reconstruction was done with an implant placed under the pectoralis major muscle, which was covered with a dermoglandular flap dissected from the inferior pedicle. Concomitantly, a contralateral mastopexy with a superior-based pedicle was performed for symmetry (Fig. 40.1a–c). Pathological examination of the mastopexy specimen incidentally found a multicentric intraductal carcinoma in situ, which was not seen in the preoperative mammogram. The pathological result was discussed with the patient, and a nipple-sparing mastectomy with immediate reconstruction with an implant was planned. The breast was of medium size with moderate ptosis (Fig. 40.1a, b).


Breast Reconstruction Pectoralis Major Muscle Acellular Dermal Matrix Inferior Pole Inferior Pedicle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag Vienna 2015

Authors and Affiliations

  1. 1.Division Gynecology, Department of Obstetrics and GynecologyMedical University GrazGrazAustria

Personalised recommendations