Cutaneous Fistula Following Immediate Implant-Based Breast Reconstruction with a Mesh
Routine mammogram found multiple suspicious microcalcifications in the right breast in the 58-year-old woman. Vacuum needle biopsy revealed intraductal carcinoma in situ of high grade. For the microcalcifications extended underneath the nipple-areola complex (NAC), skin-sparing mastectomy and immediate implant reconstruction were suggested to the patient. The breast was of large size and ptotic (Fig. 45.1a, b). Risk factors were obesity and a smoking history (ten cigarettes/day).