Nipple-Sparing Mastectomy and Immediate Reconstruction with an Acellular Dermal Matrix (ADM): Revision Due to Nipple Necrosis and Secondary Reconstruction with a DIEP Flap
The 47-year-old patient was diagnosed with a 12 mm invasive breast cancer (receptor positive, G2, Her-2-neu negative, Ki-67: 20 %) in the upper outer quadrant of the right breast. The patient was previously tested positive for a BRCA 1 mutation and was scheduled for bilateral nipple-sparing mastectomy and immediate reconstruction with implants. The breast was of large size and ptotic (Fig. 44.1a–c). Risk factors were obesity and a smoking history of ten cigarettes/ day.