Nipple sparing mastectomy and the evolving direct to implant breast reconstruction

Gudjon Leifur Gunnarsson, Lene Nyhøj Heidemann, Camilla Bille, Jens Ahm Sørensen, Jørn Bo Thomsen*

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Abstrakt

In this paper, we describe the evolving use of the nipple-sparing mastectomy (NSM) and direct to implant breast reconstruction according to existing literature and our own experience. The surgical method enables superior aesthetic results resembling that of a natural breast while maintaining oncologic safety. Acellular dermal matrix enables direct to implant breast reconstruction by serving as a hammock and can be used with acceptable rates of complications. A successful nipple-sparing mastectomy and direct to implant breast reconstruction approach with acceptable postoperative complication rates relies upon quality of the mastectomy skin flaps and correct patient selection. The surgical method has developed with a rapid pace and expected to evolve further in terms of technical modalities, safety measure and lasting results.

OriginalsprogEngelsk
TidsskriftGland Surgery
Vol/bind7
Udgave nummer3
Sider (fra-til)267-272
ISSN2227-684X
DOI
StatusUdgivet - jun. 2018

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