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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 62-year-old patient with persistent in situ ductal carcinoma (pTis pN0 M0) of the left breast after tumorectomy, as well as bilateral ptosis grade II (Regnault classification) and capsular contracture grade IV (Baker) 30 years after prepectoral augmentation mastoplasty. (b) Six months after a bilateral skin reducing mastectomy, free nipple graft, and prepectoral expander placement (Mentor CPX4 550 cc, Mentor Worldwide LLC, Irvine, CA, USA). (c) Two years after a bilateral expander exchange for a definitive implant (Motiva Ergonomix^® ERSD 575 cc), synthetic pocket-like mesh (TiLOOP^® Bra Pocket, pfm medical AG, Cologne, Germany), and autologous fat grafting to the mastectomy flaps (210 cc/breast).