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 small and malpositioned nipple reconstruction. The implants are flat and lack projection.
The treatment involved two stages. First, reshaping of space (capsuloplasty/capsulectomy) and placement of a high profile gel implant. Later, fat grafting and a new nipple reconstruction completed the outcome. A dramatic transformation