Systematization of the Incisions in Nipple-Sparing Mastectomy

Nipple-sparing mastectomy.

BACKGROUND The debate over nipple-sparing mastectomy continues to evolve. Over the past several years, it has become more widely accepted, especially in the setting of prophylactic mastectomy, but its role in the treatment of breast cancer has only recently been reexamined. METHODS Two indications for the procedure are discussed: prophylactic, for the high-risk patient; and the more controver...

Optimizing Nipple Position following Nipple-Sparing Mastectomy

BACKGROUND The best treatment for nipple malposition following nipple-sparing mastectomy is prevention. This article reviews basic elements for success in nipple-sparing mastectomy and offers an option to patients with grade 2-3 breast ptosis who strongly desire to preserve the nipple. METHODS Retrospective review identified patients undergoing nipple-sparing mastectomy and immediate reconstr...

Improved Outcomes with Pedicled Nipple-sparing Mastectomies Using a New Surgical Delay: Mastectomy through Wise Incisions

Nipple-sparing mastectomy (NSM) is challenging in patients with significant ptosis and skin excess. We previously described the first use of a surgical delay (a supraareolar incision with undermining off the breast mound) to facilitate a second-stage pedicled NSM and reconstruction. Here, we present an improvement in our surgical delay technique-a total skin and NSM through Wise incisions. This...

Anaesthetic consideration for robotic nipple sparing mastectomy

Microsurgical breast reconstruction for nipple-sparing mastectomy.

BACKGROUND Nipple-sparing mastectomy warrants thorough preoperative evaluation to effectively achieve risk reduction, high patient satisfaction, and improved aesthetic outcome. To the authors' knowledge, this review represents the largest series of microsurgical breast reconstructions following nipple-sparing mastectomies. METHODS All patients undergoing nipple-sparing mastectomy with microsu...