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Skin-reducing Mastectomy with Primary Implant Reconstruction.

W Siggelkow1, K Lübbe1, J Gade1

  • 1Gynaecological Hospital, Diakonische Dienste Hannover, Hannover.

Geburtshilfe Und Frauenheilkunde
|September 30, 2014
PubMed
Summary
This summary is machine-generated.

Skin-sparing mastectomies (SSMs) with immediate breast reconstruction offer a safe oncoplastic solution for large or ptotic breasts. This single-step procedure combines oncological safety with favorable cosmetic and functional outcomes for patients.

Keywords:
breastbreast cancergynaecology

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Area of Science:

  • Oncoplastic surgery
  • Plastic surgery
  • Breast surgery

Background:

  • Skin-sparing mastectomy (SSM) with skin reduction and immediate breast reconstruction addresses macromastia and ptosis.
  • This technique integrates oncological mastectomy with subpectoral implant placement in one procedure.

Purpose of the Study:

  • To evaluate the safety and outcomes of SSM with immediate breast reconstruction for large and ptotic breasts.

Main Methods:

  • A prospective database analysis of 24 patients undergoing 27 SSMs between February 2009 and April 2011.
  • Procedures involved single-step oncological mastectomy, subpectoral implant placement, and contralateral reduction mastopexy.
  • Nipple-areola complex reconstruction was performed in 22 patients.

Main Results:

  • Mean implant volume was 265 cm³; mean follow-up was 13 months.
  • Cosmetic outcomes were rated "very good" or "good" by 22 patients (92%).
  • One local recurrence was observed, with overall patient tolerance reported as high.

Conclusions:

  • SSM with immediate reconstruction is a safe and effective oncoplastic procedure for selected patients.
  • The technique provides satisfactory cosmetic and functional results while maintaining oncological safety.
  • This approach is well-tolerated by patients with macromastia or ptosis.