Fig. 19.1 Distribution of breast reconstruction procedures by type. Courtesy of the American Society of Plastic Surgeons 2014 (DTI direct-to-implant, TE tissue expander, TRAM transverse rectus abdominis muscle, DIEP deep…
Fig. 8.1 Demonstrating the inframammary and axillary incisions for a left NSM Fig 8.2 The breast is dissected off the pectoralis major fascia from both the inframammary and axillary incisions…
Author Year N F/U months NAC excision (%) Recurrence Recurrence in NAC RR (%) Kissin 1987 20 1 5 Bishop 1990 24 46.8 45.5 3 12 Gerber 2003 61 59…
Fig. 18.1 This is a 63 year old female with left sided breast cancer (a). She underwent left nipple sparing mastectomy and direct-to-implant reconstruction (b). Her result is shown 1…
Fig. 4.1 Algorithm for therapeutic nipple-sparing mastectomy at Georgetown University Hospital [3] Our experience with NSM at Georgetown continues to evolve, including our increasing preference for inframammary incision placement, and…
Fig. 21.1 Oncological and reconstructive criteria for NSM Fig. 21.2 Summary of her mastectomy and reconstruction with 410MF 470 cc silicone implants and fat grafting of the skin envelope with…
Prepectoral implant placement Subpectoral implant placement Pro Con Pro Con Pectoralis major muscle intact Visibility Less visibility Dissection of the pectoralis major muscle No loss of strength Palpability Less palpability…
Fig. 15.1 Preoperative radiation therapy . (Left) Fifty-seven-year-old patient who had been previously treated with left partial mastectomy and radiation therapy. The patient underwent bilateral nipple-sparing mastectomy and staged subcutaneous…
Inframammary incision preferred Small-/medium-sized breasts Minimal ptosis Small NAC diameter Prior circumareolar incisions Consideration for other incisions Moderate/severe ptosis requiring NAC repositioning High likelihood of post-mastectomy XRT Special Considerations Autologous…
Fig. 22.1 Team approach to inframammary nipple-sparing mastectomy . (a) Both oncologic surgeon and plastic surgeon work simultaneously on opposite sides of the table to start the axillary dissection and…
