Techniques to Avoid Nipple and Flap Necrosis
Fig. 10.1 Vascular supply anterior chest wall (a) Perforating vessels off of the internal thoracic artery and usual course of the lateral thoracic artery. (b) MRI showing lateral thoracic artery…
Acellular Dermal Matrices: To Use or Not?
Fig. 13.1 The partial subpectoral approach depicted and is facilitated using ADM. The ADM is sutured to the inferior edge of the pectoralis major muscle and to the inframammary fold…
Using the Breast Reconstruction Risk Assessment (BRA) Score: An Individualized Risk Calculator to Assist Expectation Management and Reconstructive Decision Making in the Mastectomy Patient
Fig. 11.1 BRA Score development methodology A striking example of the utility of individualized risk calculators is seen in the broad and skewed distribution in predicted risk among the cohort…
Nipple-Sparing Mastectomy in the Previously Radiated Patient
Fig. 16.1 Preoperative asymmetry after right lumpectomy and radiation As the use of nipple-sparing mastectomy is becoming more widespread, the selection criteria have been broadening significantly. Most surgical practices are…
Fluorescence Imaging in Breast Reconstruction: Minimizing Complications and Improving Outcomes
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…
Nipple-Sparing Mastectomy in the Community Setting
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…
The Vertical Infra-Areolar Approach to Nipple Skin-Sparing or Total Skin-Sparing Mastectomy
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…
Management of Complications Following Nipple-Sparing Mastectomy
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…
The Inframammary Approach to Nipple-Sparing Mastectomy: The Georgetown University Hospital Experience
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…
The Team Approach to Nipple-Sparing Mastectomy and Reconstruction
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…
