title: Skin-reducing Mastectomy with Primary Implant Reconstruction.
abstract: Background:We present a series of skin-sparing mastectomies (SSMs) with skin reduction and immediate breast reconstruction to treat large and ptotic breasts. The technique combines oncological mastectomy with immediate subpectoral implant placement as a single-step procedure.Methods:Data was collected from a prospective database from February 2009 to April 2011. A total of 24 patients with macromastia or pronounced ptosis fulfilled the criteria for skin-saving mastectomy. All operations were carried out as a single-step procedure with adaptation of the contralateral breast by reduction mastopexy.Results:A total of 27 SSMs were performed in 24 patients. The mean implant volume was 265 cm3. Immediate reconstruction of the nipple-areola complex was done in 22 patients. The cosmetic and functional results were assessed in all patients 6 months postoperatively; mean follow-up time was 13 months. Mean patient age was 49 years. The cosmetic result was assessed as "very good" or "good" by 22 patients; 2 patients graded the result as "unsatisfactory". There was one local recurrence.Conclusion:Our results support the use of this technique as a safe oncoplastic procedure which is well tolerated by patients.
authors.affiliation: Gynaecological Hospital, Diakonische Dienste Hannover, Hannover.
authors.forename: W
authors.initials: W
authors.lastname: Siggelkow
authors.affiliation: Gynaecological Hospital, Diakonische Dienste Hannover, Hannover.
authors.forename: K
authors.initials: K
authors.lastname: Lübbe
authors.affiliation: Gynaecological Hospital, Diakonische Dienste Hannover, Hannover.
authors.forename: J
authors.initials: J
authors.lastname: Gade
authors.affiliation: University Gynaecological Hospital, Johannes-Gutenberg-Universität, Mainz.
authors.forename: H
authors.initials: H
authors.lastname: Kölbl
authors.affiliation: University Gynaecological Hospital, Johannes-Gutenberg-Universität, Mainz.
authors.forename: M
authors.initials: M
authors.lastname: Schmidt
authors.affiliation: University Gynaecological Hospital, Johannes-Gutenberg-Universität, Mainz.
authors.forename: D
authors.initials: D
authors.lastname: Böhm
keywords: breast; breast cancer; gynaecology