Mauro  Barone,Annalisa  Cogliandro,Barbara  Cagli,Francesco  Segreto,Giovanni F  Marangi,Paolo  Persichetti,Valeria  Devirgiliis,Vincenzo  Panasiti,
Heterologous Breast Reconstruction in A Patient with Autoimmune Panniculitis
Surgical Case Reports
2018
2613-5965
http://dx.doi.org/10.31487/j.SCR.2018.03.008
https://www.sciencerepository.org/heterologous-breast-reconstruction-in-a-patient-with-autoimmune-panniculitis_SCR-3-108 
Abstract: 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 panniculopathyKeywords: Breast, Heterologous, Mastectomy, panniculopathy, reconstruction