Un reto en reconstrucción mamaria

breast reconstruction has been in evolution in the last few years with the appearance of new techniques like autologous fat grafting and acellular dermal matrix. we present a complex case of breast reconstruction after the failure of the first surgery. we analyze the different performed techniques, that should be familiar for all breast surgeons. lipofilling allows minimize the local effects of radiotherapy and make tissues thicker. acellular dermal matrix makes possible an extra coverage of the lower pole of the breast implant and guarantees safer expansion. sometimes, simple surgical techniques allow rescue complicated cases with low morbidity and less tissue sacrifice.