Koebner’s Phenomenon in Psoriasis Post Nipple Sparing Mastectomy with Immediate Silicone Implant Breast Reconstruction

The ‘Koebner’s phenomenon’ is a rare clinical response that occurs in patients with pre-existing cutaneous diseases like psoriasis. The phenomenon is triggered by skin incisions, causing an acute development of isomorphic pathological lesions along the lines of the skin trauma in an otherwise normal healthy area. Its occurrence following an immediate silicone implant breast reconstruction could result in severe morbidities. The awareness of this clinical entity and its complications is of paramount importance in preoperative decisions for breast reconstruction; given that they are rare but preventable.