Skin-Sparing Mastectomy and Immediate Implant-Based Reconstruction Using a Dermoglandular Flap
The 71-year-old woman was diagnosed with a multifocal lobular cancer in the upper outer quadrant of the right breast (estrogen and progesterone positive, intermediate grade, Her-2-neu negative, Ki-67: 30 %). The axillary lymph nodes were clinically and radiologically negative. The patient had a history of open breast biopsy in the upper outer quadrant of the right breast for benign microcalcifications 17 years ago. The breast was large and ptotic (Fig. 50.1a–c). A mastectomy with immediate implant-based reconstruction was planned together with a reduction mammoplasty of the left breast for symmetrization.