
1. Case Report
A fifty-two-year-old female was referred by a fellow plastic surgeon for explantation of bilateral breast implants and possible secondary breast reconstruction with free tissue transfer. The patient had a history of bilateral skin sparing, nipple-sacrificing mastectomy with tissue expander insertion 5 years prior. She had subsequent implant exchange 1 year later, without adjuvant radiotherapy or chemotherapy. At presentation to the Senior Author (SF) both implants had become uncomfortable due to capsular contracture and the right implant was migrating laterally. Ultrasound and MRI confirmed rupture of the left implant.