[Immediate breast reconstruction following to skin-sparing mastectomy]

Patients with breast cancer accompanied by extensive intraductal components or multiple tumors are not considered to be candidates for breast-conserving surgery. To improve post-operative quality of life of such patients, skin-sparing mastectomy with immediate reconstruction has been performed recently. We described our experience of skin-sparing mastectomy and areola-nipple-sparing mastectomy followed by immediate reconstruction with the use of a latissimus dorsi myocutaneous flap, a transverse rectus abdominis myocutaneous flap, and a deep inferior epigastric artery perforator flap. These operations appear to be oncologically safe when patients are selected carefully, and have a great benefit for the patients both aesthetically and psychologically.