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Updated: Jan 31, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
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Y-Peg-in-a-Round-Hole Closure for Immediate Periareolar Mastectomy Expander Reconstruction
Damien Grinsell, Caroline Baker1, Hans Henrik Møller Nielsen2
1Victorian Breast Oncology Centre, Melbourne, Victoria, Australia.
Annals of Plastic Surgery
|December 19, 2018
Summary
The novel Y-peg-in-a-round-hole mastectomy closure method improves breast reconstruction shape and ensures reliable healing. This technique minimizes scar size, aiding tattoo coverage and reducing contour deformities after nipple-sparing mastectomy.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Breast Reconstruction
Background:
- Linear mastectomy scars can lead to breast shape distortion.
- Improving aesthetic outcomes in breast reconstruction is crucial.
Purpose of the Study:
- To introduce and evaluate a novel Y-peg-in-a-round-hole closure method for mastectomy scars.
- To assess the impact of this technique on breast shape, healing, and scar visibility.
Main Methods:
- Retrospective review of 154 breast reconstructions by a senior surgeon (Jan 2010 - Jan 2017).
- Analysis of wound healing problems, infection rates, and mastectomy skin flap necrosis.
Main Results:
- 12 breasts (7.7%) had wound healing issues, 7 (4.5%) required revision.
- 18 breasts (11.7%) developed infections, 8 (5.2%) needed further surgery.
- 4 breasts (2.6%) required implant removal; no patients lost to follow-up.
Conclusions:
- The Y-peg-in-a-round-hole scar technique minimizes radial size and contour deformity post-mastectomy.
- This method provides reliable wound healing and is suitable for tattoo coverage.
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