Mastectomy and Immediate Implant-Based Breast Reconstruction Followed by Postmastectomy Radiation Treatment: Implant Exposure and Revision with a Latissimus Dorsi Flap
A 53-year-old patient was diagnosed with a retroareolar 30 mm invasive ductal cancer in the right breast. The axilla was clinically negative. A mastectomy was suggested, and the patient wanted to undergo an immediate implant-based reconstruction. No postmastectomy radiation treatment (PMRT) was suggested by the radiotherapist prior to surgery. Neoadjuvant chemotherapy was suggested (Her-2-neu positive, high-grade tumor) but was declined by the patient. The breast was of medium size with moderate ptosis (Fig. 60.1a, b).