TY - JOUR
AR - SCR-2018-3-108
TI - Heterologous Breast Reconstruction in A Patient with Autoimmune Panniculitis
AU -  Mauro , Barone
AU - Annalisa , Cogliandro
AU - Barbara , Cagli
AU - Francesco , Segreto
AU - Giovanni F , Marangi
AU - Paolo , Persichetti
AU - Valeria , Devirgiliis
AU - Vincenzo , Panasiti
JO - Surgical Case Reports
PY - 2018
DA - Thu 25, Oct 2018
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2018.03.008
UR - https://www.sciencerepository.org/heterologous-breast-reconstruction-in-a-patient-with-autoimmune-panniculitis_SCR-3-108 
KW - Breast, Heterologous, Mastectomy, panniculopathy, reconstruction
AB - Breast reconstruction in patients affected by collagenopathy and/or panniculopathy is often challenging. In
most cases, heterologous reconstruction is avoided due to the low extensibility of skin and subcutaneous
tissues. As a consequence, flaps were regarded as work-horses to reconstruct such patients. However,
autologous breast reconstruction implies donor-site morbidity, longer surgery and increased risk of postoperative complications. Moreover, the patient may be reluctant to undergo such a complex procedure.
We report the case of a 61 year-old woman, affected by autoimmune diffuse panniculitis who successfully
underwent two-stage heterologous breast reconstruction following unilateral mastectomy. At 12 months
follow-up no complication occurred. In our experience, by slightly modifying the expansion protocol,
two-stage heterologous breast reconstruction proved to be a reliable option in patients with panniculopathy