Mastectomy Incision Design to Optimize Aesthetic Outcomes in Breast Reconstruction.

Background: Choosing the optimal mastectomy incision must account for oncologic, reconstructive, and aesthetic considerations, including nipple preservation, mastectomy skin margins and potential for skin involvement, mastectomy skin perfusion and viability, mastectomy skin excess, previous breast scars, the reconstructive plan, and inconspicuous new scar placement. In the present study, we aimed to assess breast reconstruction aesthetics, as they are influenced by mastectomy incision design.

Methods: Nine commonly utilized mastectomy incision patterns were grouped into 3 categories: hidden scar, vertical scar, and transverse scar.

Deep Inferior Epigastric Artery Perforator Flap Reconstruction for Breast Burn Deformities.

The anterior chest wall is commonly involved in pediatric burn injuries. In women, deep thermal injuries may result in damage to the breast bud and breast skin, which can disrupt breast development and result in long-term deformities. In adulthood, the techniques frequently applied to correct these deformities focus on scar release in combination with skin grafting and implant-based procedures; however, these techniques often result in suboptimal aesthetic outcomes.

The rate of incidental atypical and malignant breast lesions in reduction mammoplasty specimens.

Aims: Reduction mammoplasty (RM) is one of the most common plastic surgeries in the United States. We aimed to demonstrate the rate of incidental atypical and malignant breast lesions (AMBL) found in RM specimens and the impact of the number of submitted tissue sections on the rate of AMBL.

Methods And Results: We analysed our database for patients who had undergone reduction mammoplasty between 2000 and 2018.

The Timing of Chemoprophylaxis in Autologous Microsurgical Breast Reconstruction.

Background: Patients undergoing autologous breast reconstruction are at high risk of perioperative venous thromboembolic events. The efficacy of chemoprophylaxis in decreasing venous thromboembolic events is well established, but the timing of chemoprophylaxis remains controversial. The authors compare the incidence of bleeding following preoperative versus postoperative initiation of chemoprophylaxis in microvascular breast reconstruction.