A procedure is described for doing a subcutaneous mastectomy on large ptotic breasts. The method employs a reduction of the skin brassiere, free transplantation of the areola-nipple, and a double layer closure technique.
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Clinical factors influencing residual subcutaneous tissue after skin-sparing and nipple-sparing mastectomy with immediate breast reconstruction.
Front Oncol
February 2025
Department of Radiation Oncology, Anadolu Medical Center, Kocaeli, Türkiye.
Background: Skin-sparing mastectomy (SSM) and nipple-sparing mastectomy (NSM) have emerged as increasingly preferred alternatives to traditional mastectomy, largely due to their enhanced cosmetic outcomes and elevated levels of patient satisfaction. Nonetheless, the oncological safety and implications associated with residual breast tissue in these surgical procedures continue to raise significant concerns. The objective of this study is to evaluate the influence of various clinical and surgical factors on residual subcutaneous tissue in patients undergoing SSM and NSM.
View Article and Find Full Text PDF[Prophylactic breast surgery: The role of DIEP (Deep Inferior Epigastric)].
Bull Cancer
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Institut Bergonié, service de chirurgie reconstructrice et oncologique, Bordeaux, France.
In France, breast cancer is the most common cancer among women, with 5 to 10% of cases being genetic. Frequently involved genes include BRCA1 and BRCA2, PALB2, TP53, CDH1, and PTEN, among others. Approximately, two in 1000 women carry a BRCA1 or BRCA2 gene mutation.
View Article and Find Full Text PDFIntercostal Nerve Transfer as a Novel Technique for Sensation Preservation in Gender-affirming Subcutaneous Mastectomy.
Plast Reconstr Surg Glob Open
March 2025
From The Buncke Clinic, San Francisco, CA.
Chest-wall contouring surgery is an important step in the transitional journey of many transgender individuals who choose to undergo masculinization procedures. Traditional gender-affirming chest surgery does not include reinnervation of the nipple-areolar complex (NAC) or the mastectomy skin flaps and risks partial or complete denervation of these areas. Efforts to restore sensation have emerged leading to various sensory nerve transfer techniques including direct neurorrhaphy to the repositioned NAC or to underlying dermatosensory elements.
View Article and Find Full Text PDFExtreme Nipple-Sparing Mastectomy: Feasibility of Nipple Preservation and Immediate Reconstruction in Breasts Weighing Over 600 Grams in a Cohort of 43 Patients.
Breast J
March 2025
Division Breast Surgical Oncology, Department of Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Limited data exist on complication rates in nipple-sparing mastectomy (NSM) in patients with large-volume breasts. Our aim was to evaluate the early complication rates of NSM with immediate reconstruction in a consecutive cohort of patients with large-volume breasts. After IRB approval, patients treated with prophylactic or therapeutic NSM and immediate reconstruction from January 2020 to June 2022 at our health network were identified.
View Article and Find Full Text PDFBackground: Breast cancer is the most common malignancy in women worldwide, and breast reconstruction following mastectomy is an integral part of patient care to improve quality of life and aesthetic outcomes. Nipple-sparing mastectomy (NSM) combined with immediate breast reconstruction (IBR) with implant is becoming increasingly preferred due to its ability to preserve breast aesthetics. Acellular dermal matrix (ADM) is commonly used in these procedures, but is often prohibitively expensive, particularly in resource-limited settings like Vietnam.
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