Immediate Post-Mastectomy Reconstruction with Prosthesis Using the Total Posterior Pedicle Mammaplasty Design

Abstract

The author, who has already described the "Total Posterior Pedicle Mammaplasty", presents a simple and rational way for immediate breast reconstruction using the same cutaneous resection principles as in the "Total Posterior Pedicle Mammaplasty". The surgeon will first draw and execute the incisions by following the rule of cutaneous resection taking care of the ptosis degree as in the "Moufarrege Total Posterior Pedicle Mammaplasty". So, the importance of resection will be directly proportionate to the angle of the arms surrounding the skin to be respected, spreading from 90 degrees in the non-ptotic breasts to 180 degrees in very ptotic breasts. The large exposition of the gland allowed by the cutaneous undermining and the total mastectomy will ensure an easy access to the axilla to perform the node surgery stage, as well as to create the retro-pectoral pocket for the installation of the prosthesis. The skin closure performed with an inverted T is similar to that of the cosmetic mammaplasty lifting. The difference with the Wise incision is that our horizontal section of the incision will be much shorter, that is to stay three to seven centimeters. Furthermore, this reconstruction, when well indicated, leads to very nice results at very low costs in terms of pain, morbidity and financial charges.