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. 2022 May 30;11(11):3079. doi: 10.3390/jcm11113079

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© 2022 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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(a) A 43-year-old patient with multifocal invasive-ductal carcinoma (pT1c pN1mi M0) of the right breast. (b) Six months after a nipple sparing mastectomy through a lateral hemi-areolar access with vertical extension and prepectoral expander placement (Motiva Flora^® XMF-58 440 cc) and ADM (SurgiMend^® PRS meshed, Integra LifeSciences, Princeton NJ, USA) use. (c) One year after expander exchange for a definitive implant (Motiva Ergonomix^® ERSD 300 cc) and autologous fat grafting to the mastectomy flap (140 cc) and mastopexy of the left breast (“auto-augmentation”).