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Background: Although pure hemi-periareolar incisions for mastectomy can prevent visible scarring, nipple-areolar complex (NAC) necrosis is a potential risk. Superficial-arterial inflow of the NAC can be evaluated by indocyanine green angiography (ICG-A).
Objectives: This study evaluated the impact of ICG-A-assisted periareolar incision on NAC necrosis during nipple-sparing mastectomy (NSM) and direct-to-implant (DTI) breast reconstruction.
Immediate prepectoral versus submuscular breast reconstruction in nipple-sparing mastectomy: a retrospective cohort analysis.
Rev Bras Ginecol Obstet
October 2024
Clinica São Vicente Rio de JaneiroRJ Brazil Clinica São Vicente, Rio de Janeiro, RJ, Brazil.
Article Synopsis
- The study aimed to assess early complications in prepectoral breast reconstruction by comparing it to subpectoral reconstruction in 180 cases of nipple-sparing mastectomy from 2012 to 2022.
- Prepectoral reconstruction had a lower complication rate overall, particularly with no cases of nipple-areola complex/skin flap necrosis, while demographic factors like age and body mass index were higher in the prepectoral group.
- The study concluded that early complications were similar in both techniques, but differences in clinical characteristics were noted, highlighting the need for randomized clinical trials to further investigate.
Optimizing Gynecomastia Correction Surgery: Efficacy and Safety of Tumescent Local Anesthesia Approach.
Aesthetic Plast Surg
December 2024
Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Sassari, Italy.
Article Synopsis
- * A total of 60 male patients underwent the procedure (2010-2023), where liposuction and periareolar excision were performed, with an average of 300 mL of tumescent solution used per breast, resulting in minimal complications.
- * The findings indicate that this outpatient method is both effective and safe, with a low rate of major (6.7%) and minor (5%) postoperative complications, and patients reported no pain during the surgery.
Modified peri-areolar mastopexy and fat grafting in complex breast ptosis: A randomized open-label controlled trial.
J Plast Reconstr Aesthet Surg
November 2024
Associate Professor of Plastic and Reconstructive Surgery, Department of Surgical Science, Medical School, "Tor Vergata" University, Rome 00133, Italy; President of Academy of International Regenerative Medicine & Surgery Societies (AIRMESS), 1201 Geneva, Switzerland; Top Italian Scientists (H-Index >30), Italy. Electronic address:
Background: Complex breast ptosis may be caused by moderate to severe degrees of skin and glandular sagging associated with breast and nipple-areola complex (NAC) asymmetries and deformities. The use of traditional peri-areolar mastopexy (t-PM) with or without implants is limited only to mild or moderate breast ptosis.
Objectives: This study aimed to report the safety and efficacy of the modified peri-areolar mastopexy (m-PM) characterized by a vertical shift of the classical pattern with implants and fat grafting (FG) in complex breast ptosis and to evaluate the influence of breast and NAC asymmetries, breast, and chest deformities on aesthetics outcomes.
Liposuction Through an Axillary Fold Incision Combined with a Small Areola Incision to Treat Gynecomastia.
Aesthetic Plast Surg
November 2024
Department of Plastic and Reconstructive Surgery, Xijing Hospital, Forth Military Medical University, No. 127 Changle West Road, Xi'an, 710032, Shaanxi, China.
Background: Gynecomastia is a progressive disease characterized by enlarged breasts, affecting a significant proportion of men. Persistent gynecomastia negatively affects the psychological and emotional development of patients; therefore, surgical intervention is required. In this article, we describe a surgical technique, where liposuction through an axillary incision is used in combination with a single small periareolar incision, to obtain the most minimal scars in the treatment of gynecomastia.
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