The Use of the Three-Pedicle Dermal Flap in Preventing Mastectomy for Large and/or Ptotic Breasts: A Novel Concept to prevent NAC survival in Two Stages Reconstruction

Abstract

Preventing mastectomy (or prophylactic or risk reducing mastectomy) has been a major area of interest within the field of surgical methods during the last years, as a result of the recognition that the genetic basis of patients with BRCA 1 and 2 mutations, and those with very strong family history, acts as an indicative factor. Whereby, the procedure appears to be a cancer disease preventing method at very high risk patients.Firstly, surgical management of Preventing Mastectomy and Implant Based Reconstruction is easier in small and moderate ptotic breasts, rather than in big and extensive breasts. Whereas, in patients with macromastia a reduction or mastopexy procedure is needed in order to achieve the desirable shape and position of the breast. In this category of patients viability and survival of Nipple Areola Complex is unsecure. Thus, this technique describes the performance of Preventing Mastectomy using a three pedicle dermal flap that supports blood supply of the NAC and increases the survival rate. All patients who underwent the three pedicle technique had been operated at the Plastic Surgery Department of Nicosia General Hospital between October of 2013 and October of 2015, by the writer.