Nipple-Sparing Mastectomy via an Inframammary Fold Incision with Implant-Based Reconstruction in Patients with Prior Cosmetic Breast Surgery

Dent, Briar L.; Cordeiro, Christina N.; Small, Kevin; Clemons, Jessica A.; Kessler, Evan G.; Swistel, Alexander; Talmor, Mia

doi:10.1093/asj/sju158

Cited by 22 publications

(14 citation statements)

References 21 publications

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“…Nipple‐areola‐sparing mastectomy has the potential to offer a more esthetic result to patients and is a valuable approach for risk reduction and cancer treatment in certain patients . Recently, the rates of NSM performed have been increasing, much in line with the rate of cosmetic breast surgery …”

Section: Discussionmentioning

confidence: 99%

“…Dent et al recorded data on patients who underwent NSM after cosmetic breast surgery yet did not document incision patterns. Prior surgery resulted in significantly higher rates of mastectomy skin flap necrosis (31.7% vs 18.2%) and hematoma (9.8% vs 3.1%) . Jensen's group performed surgical delay on all their seven patients whom they felt were high risk for nipple necrosis: smokers, scars, etc No NAC complications were reported in patients using their staged approach …”

Section: Discussionmentioning

confidence: 99%

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Nipple viability after nipple-sparing mastectomy in patients with prior circum-areolar incisions

et al. 2018

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Nipple-areola-sparing mastectomy (NSM) is becoming more commonplace as it offers a more esthetic breast appearance while still appropriately treating malignancy. However, patients with prior circum-areolar incisions are often considered at risk for nipple viability. The authors present a case series of all patients undergoing NSM at their institution between 2012 and 2016. Eighteen consecutive female nonsmoking patients underwent 32 NSMs. None of the patients had reconstructive failures including those relating to the nipple-areola complex (NAC), such as nipple necrosis. NSM is therefore feasible in cases with prior circum-areolar incisions. These patients can be safely reconstructed with both prosthetic devices and autologous tissue.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nipple viability after nipple-sparing mastectomy in patients with prior circum-areolar incisions

et al. 2018

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“…The IMF incision has the advantage of hiding the scar in a natural crease while providing sufficient exposure for resection. 16,17,31 This approach is particularly beneficial in patients who require nipple/NAC resection because it minimizes the scar burden and skin tension at the site of future reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Nipple Resection and Reconstruction After Attempted Nipple-Sparing Mastectomy

Dent

Chao

Eden

et al. 2017

Annals of Plastic Surgery

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“…A description of this technique is given in Appendix 1. This obviates the need for use of electrocautery close to the skin flaps, which is thought to reduce soft tissue damage from the dissipation of thermal energy . Previous studies have shown no increase in post‐op complications compared to conventional electrocautery technique.…”

Section: Introductionmentioning

confidence: 99%

Mastectomy flap necrosis after nipple‐sparing mastectomy and immediate implant‐based reconstruction: An evaluation of tumescence and sharp dissection technique on surgical outcomes

Knowles

Brackstone

et al. 2019

Breast J

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Nipple‐sparing mastectomy (NSM) with immediate implant‐based reconstruction has better esthetic outcomes and improved patient satisfaction, in addition to being oncologically safe. A known complication of NSM is skin flap necrosis. The use of tumescence and sharp dissection may decrease this complication compared to the standard NSM technique using electrocautery. This is a retrospective review of patients who underwent a NSM between 2014 and 2017 at a regional cancer center. Tumescence with sharp dissection was compared to electrocautery. The primary outcome was skin flap necrosis. The secondary outcomes were operative time and management of the complication. A total of 62 patients underwent a NSM with 116 breasts being operated on. Full‐thickness necrosis occurred more frequently in the standard electrocautery group (12.8%) compared to the tumescence and sharp dissection group (1.3%; P = 0.02). Partial‐thickness necrosis also occurred more frequently in the standard group (33.3%) compared to the sharp dissection group (13.0%; P = 0.01). The operative time was significantly shorter in the sharp dissection group with the mean (SD) time being 183.5 (48.9) minutes compared to the standard electrocautery group at 202.9 (33.8) minutes (P = 0.03). NSM using tumescence and sharp dissection have a lower rate of the complications of partial‐ and full‐thickness necrosis. Shorter operative time was also seen with the tumescent technique.

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Nipple-Sparing Mastectomy via an Inframammary Fold Incision with Implant-Based Reconstruction in Patients with Prior Cosmetic Breast Surgery

Abstract: 4 Therapeutic.

Cited by 22 publications

References 21 publications

Nipple viability after nipple-sparing mastectomy in patients with prior circum-areolar incisions

Nipple viability after nipple-sparing mastectomy in patients with prior circum-areolar incisions

Nipple Resection and Reconstruction After Attempted Nipple-Sparing Mastectomy

Mastectomy flap necrosis after nipple‐sparing mastectomy and immediate implant‐based reconstruction: An evaluation of tumescence and sharp dissection technique on surgical outcomes

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