Skin sparing mastectomy: Technique and suggested methods of reconstruction

Farahat, Ahmed; Hashim, Tarek; Soliman, Hisham M.; Manie, Tamer M.; Soliman, Omar S.

doi:10.1016/j.jnci.2014.05.004

Cited by 6 publications

(6 citation statements)

References 11 publications

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“…Breast conservation therapy and mastectomy are both viable options with similar survival benefits, but the individual preference of patients should be integrated into treatment decisions when deciding between the two 34 . Oncoplastic-augmentation-mastopexy is an oncoplastic surgical option developed for patients with previous breast augmentation or small breast volume who choose to preserve their breast size and avoid mastectomy by opting for BCT, while also avoiding a second operation by going directly to implants 28–30,35,36 …”

Section: Discussionmentioning

confidence: 99%

“…Well-established techniques have been described for large- and medium-sized breasts; however, oncoplastic surgical treatment options for patients with a low breast volume are limited. Literature describing the results of breast augmentation in conservation therapy is also limited 8,28–30 . History of breast augmentation, large tumor size to be removed, or small breast size poses a challenge for breast conservation and reconstruction management due to breast volume that is too small to achieve adequate breast shape with soft tissue–only oncoplastic techniques 11,16,17,31 .…”

Section: Discussionmentioning

confidence: 99%

“…Literature describing the results of breast augmentation in conservation therapy is also limited. 8,[28][29][30] History of breast augmentation, large tumor size to be removed, or small breast size poses a challenge for breast conservation and reconstruction management due to breast volume that is too small to achieve adequate breast shape with soft tissue-only oncoplastic techniques. 11,16,17,31 In our practice, the incidence of women with a history of breast augmentation is high, which inevitably results in more breast cancer patients presenting with preexisting implants, posing a reconstructive challenge.…”

Section: Discussionmentioning

confidence: 99%

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Oncoplastic Augmentation Mastopexy in Breast Conservation Therapy

et al. 2023

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Background Oncoplastic techniques, in conjunction with lumpectomy and adjuvant radiotherapy, have been demonstrated to achieve good aesthetic results and cancer outcomes in the treatment of patients with macromastia or significant ptosis. This study evaluated a series of patients undergoing breast conservation with concomitant oncoplastic-augmentation-mastopexy and a contralateral augmentation-mastopexy. Methods Patients undergoing lumpectomy for breast conservation were identified via a retrospective chart review. Inclusion criteria included patients with ptosis and preexisting breast implants or insufficient breast volume undergoing oncoplastic implant placement/exchange and mastopexy. Demographic characteristics, operative details, and complications were assessed. Results Thirty-four consecutive patients (64 breasts, 4 unilateral procedures) were included in the study. Average age was 51.4 years, average body mass index was 27, and 38.2% were smokers/former smokers. The average operative time was 2.5 hours. Furthermore, 38.2% of patients received chemotherapy, and 82.4% of patients received breast adjuvant radiotherapy. The average length of follow-up was 11.7 months. In the sample that received radiation, the capsular contracture rate was 25%, with a 7.1% contracture revision rate. For the entire group, a total of 8 patients (23.5%) underwent revisions for either positive margins (8.8%), capsular contracture (8.8%), implant loss (2.9%), or cosmetic concerns (2.9%). One patient developed a pulmonary embolism. Conclusions Oncoplastic-augmentation-mastopexy is a safe technique with acceptable complication rates. This technique is best used for breast cancer patients with breast ptosis and a paucity of breast volume or preexisting implants who wish to pursue breast-conserving therapy. The revision rates are acceptable compared with single-stage cosmetic augmentation procedures as well as other oncoplastic techniques described in the literature, but patients must be clearly counseled on contracture risk.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Oncoplastic Augmentation Mastopexy in Breast Conservation Therapy

et al. 2023

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“…Incisions for NSM include inframammary, extended inframammary, lateral inframammary, horizontal pericentral (extending from the lateral aspect of the areola), and superior areolar crescent also known as the modified nipple sparing (Figure 1). Our personal preference is the inframammary approach, which has proven to be both effective and safe (36,37). In our opinion, the inframammary incision leads to the most pleasing aesthetic outcome with little or no visible scar with the breast in the upright position.…”

Section: Maximizing the Mastectomy And Placement Of Incisionsmentioning

confidence: 98%

The breast surgeons’ approach to mastectomy and prepectoral breast reconstruction

Storm-Dickerson¹,

Sigalove²

2019

Gland Surg

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The purpose of this review article is to discuss and highlight the data, techniques and our experience performing mastectomies in the setting of prepectoral breast reconstruction. Using a systematic review of the approach to mastectomy in the oncologic setting encompassing patient selection, safety, anatomy and methods including a literature review of mastectomy trends, safety data and outcomes, anatomy and our experience, we are able to illustrate the safety and utility of this technique. The literature strongly supports the oncologic safety of these methods. This review also supports the use of these techniques as a surgical approach to any mastectomy, with or without reconstruction, and addresses many of the factors involved in improving and maximizing outcomes. While, there are multiple and equally efficacious approaches to mastectomy, several surgical techniques can be used to improve outcomes and ensure optimal flap viability.

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“…отдают предпочтение 3-му типу [24], в то время как A. M. Farahat и соавт. считают на-иболее оптимальным 2-й тип [25]. И все же выбор типа кожесохранной мастэктомии должен основы-ваться на таких показателях, как топографо-анатоми-ческие параметры опухоли, вид планируемой рекон-струкции, а также осуществляться с учетом желаний пациента, при этом необходимо руководствоваться принципами максимального сохранения кожного конверта, уменьшения частоты послеоперационных некротических осложнений со стороны кожных ло-скутов и локализацией рубцов в эстетически благо-приятных зонах [26].…”

Section: кожесохранная мастэктомияunclassified