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. 2021 Mar 26;9(3):e3456. doi: 10.1097/GOX.0000000000003456

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Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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Fig. 1. — A 43-year-old woman underwent bilateral nipple-sparing mastectomy and direct-to-implant reconstruction with sub-pectoral implants. A, Immediate postoperative result. B, Severe peri-prosthetic infection in the right breast on postoperative day 17 with frank pus in the implant pocket and a culture that grew methicillin-sensitive staphylococcus aureus (MSSA). C, Clean breast pocket after 3 days of negative pressure wound therapy with installation (NPWTi). D, After 7 days of NPWTi, culture was taken, which showed eradication of infection. E, Result following insertion of tissue expander at the completion of NPWTi. F, Final result after exchange of tissue expander for permanent prosthesis.