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