title: Bilateral prophylactic skin-reducing nipple-sparing mastectomy with immediate breast reconstruction using only a vascularized dermal-subcutaneous pedicle: technique and possible advantages.
abstract: OBJECTIVE
  To present a new surgical technique regarding breast reconstruction after skin-reducing nipple-sparing mastectomy.
  
  
  METHODS
  The current trend for immediate breast reconstruction after skin-reducing mastectomy mainly supports the insertion of subpectoral implants or the use of autologous breast reconstruction techniques. Herein for the first time, we present a case of bilateral prophylactic skin-reducing nipple-sparing mastectomy with immediate breast reconstruction, using only a dermal-cutaneous pedicle.
  
  
  RESULTS
  The postoperative course was uneventful. Forty days postoperatively the aesthetic result was excellent.
  
  
  CONCLUSIONS
  We believe that such technique in selected cases can present several advantages as low cost, reduced possibilities for complications associated to implant insertion or autologous reconstruction techniques and an easier mammography follow-up.
authors.affiliation: First Department of Obstetrics and Gynecology, Ludwig Maximilians University, Innenstadt Campus, Maistrasse 11, 80337 Munich, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Vrekoussis
authors.forename: Marta
authors.initials: M
authors.lastname: Perabo
authors.forename: Isabelle
authors.initials: I
authors.lastname: Himsl
authors.forename: Maria
authors.initials: M
authors.lastname: Günthner-Biller
authors.forename: Darius
authors.initials: D
authors.lastname: Dian
mesh_terms: D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D016038:Skin Transplantation; D040521:Subcutaneous Tissue / Q000637:transplantation