Open AccessNipple sparing mastectomy and the evolving direct to implant breast reconstruction
Author(s) -
Gudjon Leifur Gunnarsson,
Lene Nyhøj Heidemann,
Camilla Bille,
Jens Ahm Sørensen,
Jørn Bo Thomsen
Publication year - 2018
Publication title -
gland surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.643
H-Index - 22
eISSN - 2227-8575
pISSN - 2227-684X
DOI - 10.21037/gs.2017.08.06
Subject(s) - medicine , mastectomy , implant , breast reconstruction , breast implant , general surgery , surgery , bioinformatics , breast cancer , cancer , biology
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.