This case represents the all too common occurrence of a post-mastectomy with secondary deformities after an implant reconstruction. This patient came to me after her reconstruction was done by another institution.
The residual problems were that the nipple reconstruction was small and malpositioned. The implants were flat and lacked projection.
The treatment involved two stages. First, the reshaping of space (capsuloplasty/capsulectomy), placement of high profile gel implant, later fat grafting, and a new nipple reconstruction completed the outcome. A dramatic transformation.