title: Skin/nipple sparing mastectomies and implant-based breast reconstruction in patients with large and ptotic breast: oncological and reconstructive results.
abstract: In this study we performed 77 procedures on 65 patients fulfilling the oncological criteria for skin-sparing mastectomy and presenting with large or medium size breasts. All the operations were performed as a single-stage procedure with an anatomical prosthesis allocated into a compound pouch, made up of the pectoralis major, serratus anterior fascia, and a lower dermal adipose flap. The medium size of the anatomical implants employed was 444.3 cc. The implant removal rate was 14.2%. At a median follow-up of 36 months we reported a 0.5% local recurrence rate per year. The overall specific survival rate was 98.2%. This study confirms the safety and effectiveness of this technical variation of skin and nipple-sparing mastectomies. All breast, irrespective of mammary shape and size, can be reconstructed with medium size implants and, if required, contralateral adjustments. The overall complication rate is in keeping with previous studies.
authors: Unit of Plastic and Reconstructive Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Via G. Venezian 1, 20133 Milano, Italy.
authors: Maurizio B
authors: MB
authors: Nava
authors: Joseph
authors: J
authors: Ottolenghi
authors: Angela
authors: A
authors: Pennati
authors: Andrea
authors: A
authors: Spano
authors: Novella
authors: N
authors: Bruno
authors: Giuseppe
authors: G
authors: Catanuto
authors: Dominik
authors: D
authors: Boliglowa
authors: Valentina
authors: V
authors: Visintini
authors: Stefano
authors: S
authors: Santoro
authors: Secondo
authors: S
authors: Folli
mesh_terms: D000328:Adult; D018427:Breast Implants; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods; D008875:Middle Aged; D009558:Nipples / Q000601:surgery*; D016038:Skin Transplantation; D013524:Surgical Flaps; D016896:Treatment Outcome; D016387:Women's Health