Skin-reducing Mastectomy with Primary Implant Reconstruction

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.