Skin-sparing mastectomy with Sun flap closure

Skin-sparing mastectomy lends itself to immediate reconstruction with autologous tissue, allowing a one-stage reconstruction (a nipple-areolar complex is made at the time of the initial surgery). It has been difficult to obtain equally pleasing results when immediate reconstruction with a skin-sparing technique is performed with expanders. The authors describe a modification of previously described techniques that enhance the aesthetic result of expander/implant reconstruction. This modification is called the sun flap closure.