The star approach, a surgical approach for skin sparing mastectomy and central lumpectomies.

Ann Chir Plast Esthet

Department of Plastic Reconstructive Surgery and Burns, Rangueil University Hospital, Toulouse, France.

Published: March 2024

When preservation of the nipple-areolar complex (NAC) is not possible in oncologic breast surgery, the traditional approaches are either a horizontal incision centered on the NAC resulting in visible scars and breast distortion, or a round block with risk of healing difficulties. To address these concerns, the authors propose a star approach technique for skin sparing mastectomies and lumpectomies of central breast tumors. During the oncologic surgery, the NAC is removed with four cutaneous extensions, which can be closed as a cross-shaped scar. The scarring is similar in size to the original NAC diameter and can easily be covered by the NAC reconstruction. This technique offers good exposure during surgery, a good aesthetic result with limited scarring, no breast deformity, correction of breast sagging, and high-quality healing.

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http://dx.doi.org/10.1016/j.anplas.2023.06.003DOI Listing

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