Figure 7.

(a) A 59-year-old patient after a bilateral skin reducing mastectomy for invasive lobular carcinoma (pT3 pN2 (10/10) M0) of the left breast and immediate subpectoral implant-based reconstruction elsewhere, followed by adjuvant radiotherapy. Exchange of implants with microvascular flaps from the abdomen (DIEP). Salvage of the breast pocket with an implant on the right for flap failure. Note the caudal implant displacement and asymmetry of breast shape. (b) Three years after a pocket change from subpectoral to prepectoral, exchange of the implant (Motiva Ergonomix^® ERSM 400 cc), reconstruction of the inframammary fold, and autologous fat grafting to the mastectomy flap (220 cc).