title: Alternatives to subcutaneous mastectomy.
abstract: It is our belief that subcutaneous mastectomy often leads to complications, with poor results. In addition, because a considerable amount of breast tissue may be left behind, its value as a prophylactic operation must be questioned. Two alternatives are presented. In our experience, these lead to fewer complications with a more thorough removal of the mammary gland, and achieve a better appearance. The alternatives are (1) simple mastectomy with secondary reconstruction; (2) the type of mastectomy described by Spira--with primary reconstruction using a subpectoral silicone prosthesis covered by muscle and an inferiorly-based dermal flap.
mesh_terms: D000232:Adenofibroma / Q000601:surgery; D000293:Adolescent; D001940:Breast / Q000601:surgery*; D001941:Breast Diseases / Q000601:surgery*; D001943:Breast Neoplasms / Q000601:surgery; D002278:Carcinoma in Situ / Q000601:surgery; D006801:Humans; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D009558:Nipples / Q000601:surgery; D019736:Prostheses and Implants; D012828:Silicones; D016038:Skin Transplantation; D014182:Transplantation, Autologous
chemical_list: D012828:Silicones