W Siggelkow1, K Lübbe1, J Gade1, H Kölbl2, M Schmidt2, D Böhm2. 1. Gynaecological Hospital, Diakonische Dienste Hannover, Hannover. 2. University Gynaecological Hospital, Johannes-Gutenberg-Universität, Mainz.
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.
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: S S Kroll; A Khoo; S E Singletary; F C Ames; B G Wang; G P Reece; M J Miller; G R Evans; G L Robb Journal: Plast Reconstr Surg Date: 1999-08 Impact factor: 4.730
Authors: R M Simmons; S K Fish; L Gayle; G S La Trenta; A Swistel; P Christos; M P Osborne Journal: Ann Surg Oncol Date: 1999 Oct-Nov Impact factor: 5.344
Authors: Howard N Langstein; Ming-Huei Cheng; S Eva Singletary; Geoffrey L Robb; Emma Hoy; Terry L Smith; Stephen S Kroll Journal: Plast Reconstr Surg Date: 2003-02 Impact factor: 4.730
Authors: Fabinshy Thangarajah; Timo Treeter; Barbara Krug; Martin Hellmich; Christian Eichler; Bettina Hanstein; Peter Mallmann; Wolfram Malter Journal: Breast Care (Basel) Date: 2019-02-26 Impact factor: 2.860