title: ["Skin reducing mastectomy" and immediate breast reconstruction with Becker 35 contour profile breast implant: our experience].
abstract: OBJECTIVE
  We describe in this paper our experience with the technique of skin-reducing mastectomy in the treatment of breast cancer.
  
  
  METHODS
  Between October 2005 and April 2010 in our Center 33 patients underwent breast surgery utilizing the skin-reducing mastectomy technique and immediate breast reconstruction with expansor/definitive implant Becker 35 contour profile. Contralateral symmetrization was performed in the same operation. All selected patients satisfied inclusion critera either for nipple-sparing mastectomy or prophylactic mastectomy. We selected patients who had large ptosic breasts: areola-submammary fold >8 cm and jugular-nipple distance >25 cm. After histologic exam to confirm the lack of retroareolar tissue infiltration the nipple was preserved in a superior flap.
  
  
  RESULTS
  Twenty-four out of 33 patients (72.7%) did not suffer from complications. In 9 patients (27.3%) we observed early complications. During follow-up we observed in 24 patients (72.7%) Baker I capsular contracture, in 9 patients (27.3%) Baker II capsular contracture. Esthetic results of symmetry, shape and volume were good to optimal. Patients' satisfaction was similar. During the follow up (6-33 months, average 17.7 months) no patient suffered from breast cancer recurrence.
  
  
  CONCLUSIONS
  The "skin-reducing mastectomy" reduces mutilation and unsightly scar visibility. It gives a pleasant aesthetic outcome without hindering oncological safety.
authors.affiliation: Struttura Complessa di Chirurgia Plastica e Ricostruttiva, Università di Perugia, Perugia, Italia.
authors.forename: S
authors.initials: S
authors.lastname: Chiummariello
authors.forename: S
authors.initials: S
authors.lastname: Arleo
authors.forename: E
authors.initials: E
authors.lastname: Pataia
authors.forename: M
authors.initials: M
authors.lastname: Iera
authors.forename: C
authors.initials: C
authors.lastname: Alfano
mesh_terms: D000368:Aged; D018427:Breast Implants; D001943:Breast Neoplasms / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods; D015414:Mastectomy, Subcutaneous / Q000379:methods*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome