Conservative mastectomies.
Nowadays, oncological breast surgery has to be performed to maximize cosmetic results, and even mastectomies, when unavoidable, should conform to acceptable aesthetics. We investigated surgical approaches to skin-sparing mastectomies. Scar positioning and volume replacement were evaluated. We also discuss nipple-sparing mastectomy (NSM), probably the most outstanding item in the current debate on breast shape preservation. We give suggestions for safe admission criteria and effective treatment.
Nava
Maurizio B
MB
Unit of Plastic and Reconstructive Surgery, Istituto Nazionale Tumori, Via Venezian 1, 20133, Milan, Italy.
Catanuto
Giuseppe
G
Pennati
Angela
A
Garganese
Giorgia
G
Spano
Andrea
A
D019928:Breast Implantation / Q000009:adverse effects / Q000379:methods*; D018427:Breast Implants; D001943:Breast Neoplasms / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D015412:Mastectomy, Segmental / Q000379:methods; D015414:Mastectomy, Subcutaneous / Q000379:methods*; D009558:Nipples; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*