fig1

Figure 1. (A) Immediate postoperative appearance after implant-based breast reconstruction; (B) Postoperative wound necrosis at the inframammary fold on postoperative day 11 after implant-based breast reconstruction; (C) Clinical appearance 11 days after autologous breast reconstruction, showing postoperative necrosis, predominantly on the right side; (D) Clinical appearance on the day of diagnosis of PSPG and initiation of corticosteroid therapy; (E) Early clinical improvement two days after initiation of corticosteroid therapy; (F) Local wound appearance after necrosectomy of the right breast; (G) Final reconstructive procedure with split-thickness grafting; (H) Outcome after multiple surgical interventions following delayed diagnosis of PSPG. PSPG: Postsurgical pyoderma gangrenosum.