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).


Pectoralis Major Muscle Acellular Dermal Matrix Autologous Tissue Inframammary Fold Latissimus Dorsi Flap 

Copyright information

© Springer-Verlag Vienna 2015

Authors and Affiliations

  1. 1.Second Department of SurgeryBreast Care Center, Akh – LFKK LinzLinzAustria

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