Before and after left breast revision in a 45-year-old breast cancer survivor. Following bilateral nipple-sparing mastectomies and implant reconstruction, her left implant had migrated downward, causing bottoming-out and an abnormally high position of her left nipple and areola. This can happen due to violation of the inframammary fold attachments during a mastectomy.
Her revision was simple and was performed in the office, under local anesthesia. Skin was removed from the lower pole of the left breast, and her inframammary fold was reconstructed using suture techniques. Mesh was not required, although addition of slowly absorbable mesh would be an option today – these products were not available at the time of this patient’s revision.
Follow up photos are shown 3 months after surgery, with improved symmetry to her reconstruction and correction of the bottoming out.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
