Open AccessA Novel Method of Implant Coverage for Post-Mastectomy Reconstruction after Previous Augmentation: A Case Report
Author(s) -
Elisabetta Rossi,
Alessandra Invento,
Marco Iera,
Virgilio Sacchini,
Giulia Veronesi,
Francesca De Lorenzi
Publication year - 2020
Publication title -
breast care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.767
H-Index - 30
eISSN - 1661-3805
pISSN - 1661-3791
DOI - 10.1159/000505226
Subject(s) - medicine , implant , breast reconstruction , mastectomy , breast cancer , surgery , mammaplasty , breast implant , breast augmentation , prophylactic mastectomy , incidence (geometry) , cancer , general surgery , physics , optics
Background: Breast augmentation is the most common cosmetic surgical procedure in the USA, with nearly 300,000 women undergoing surgery annually. National incidence rates predict that among women undergoing breast augmentation each year, approximately 35,000 will eventually be diagnosed with breast cancer, in particular individual BRCA1/2 germline mutant carriers. Case Report: Our case introduces a novel method of implant coverage after immediate post-mastectomy reconstruction in augmented patients. A novel “capsular flap” (flap of the pre-existing old capsule) is isolated and refolded to cover the outer lower portion of the implant. Conclusion: Tailored surgical approaches can be offered to those patients previously augmented and requiring mastectomy after breast cancer diagnosis.