ArticlePlastic surgery international2018
Single Stage Nipple-Sparing Mastectomy and Reduction Mastopexy in the Ptotic Breast.
Article in Plastic surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- Single-Stage Mastopexy with Broad-Based Inferior Dermal Pedicle in Nipple-Sparing Mastectomy with Immediate Reconstruction for Large, Ptotic Breasts.Journal of plastic and reconstructive surgery · 2026Article
- Cosmetic Principles and Contemporary Techniques: Achieving Aesthetic Outcomes in DIEP Flap Breast Reconstruction.Journal of clinical medicine · 2026Review
- Omega and Reverse Omega Incisions: Techniques for Immediate or Delayed Reconstruction of Mildly Ptotic and Larger Breasts Following Nipple-Sparing Mastectomy.Aesthetic plastic surgery · 2026Article
- Advanced techniques for mastopexy in patients with ptotic breasts requiring nipple-sparing mastectomy: a narrative review.Gland surgery · 2026Review
- Techniques for Success in Nipple-Sparing Mastectomy and Immediate Reconstruction.Journal of clinical medicine · 2025Review
- Initial Outcomes of a Novel Technique of Nipple Sparing Mastectomy Without Reconstruction.Cancers · 2025Article
- BRM: From Skin-Reducing Mastectomy to the New Concept of Breast Reshaping Mastectomy.Journal of clinical medicine · 2025Article
- A Suitable Indication for Crescent Mastopexy: Achieving Optimal Nipple Position in Nipple-Sparing Mastectomies.Eplasty · 2025Article
- Impact of Mastectomy Flap Necrosis on Patient-Reported Quality-of-Life Measures After Nipple-Sparing Mastectomy: A Preliminary Analysis.Annals of surgical oncology · 2024Article
- Correction of Breast Ptosis in Immediate Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2023Article
- Mastopexy Strategies for Ptotic Breasts in Patients Choosing Autologous Reconstruction Following Prophylactic Mastectomy.Journal of clinical medicine · 2023Article
- Modified Bidirectional Adipodermal Mastopexy, Nipple-sparing Mastectomy, and Direct-to-implant Reconstruction in Patients with Significant Ptosis.Plastic and reconstructive surgery. Global open · 2022Article
- A Strategic Approach to Nipple-sparing Mastectomy Reconstruction with a Wide-based Inframammary Fold Flap.Plastic and reconstructive surgery. Global open · 2020Article
- Implant Reconstruction in Nipple Sparing Mastectomy.Seminars in plastic surgery · 2019Review
- Nipple-Sparing Mastectomy and Prepectoral Implant/Acellular Dermal Matrix Wrap Reconstruction in Large Ptotic Breasts.Plastic and reconstructive surgery. Global open · 2019Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGiven the proposed increased risk of nipple-areolar complex (NAC) necrosis, nipple-sparing mastectomy (NSM) is generally not recommended for patients with large or significantly ptotic breasts. NAC preserving strategies in this subgroup include staged or simultaneous NSM and reduction mastopexy. We present a novel approach towards simultaneous NSM and reduction mastopexy in patients with large, ptotic breasts.
methodsLiterature pertaining to NSM for women with large, ptotic breasts was reviewed and a surgical approach was designed to allow for simultaneous NSM and reduction mastopexy in such patients.
resultsEight patients underwent bilateral NSM with simultaneous reduction mammaplasty and immediate reconstruction. The majority of breasts demonstrated advanced ptosis (69% grade III, 31% grade II) and the average breast volume excised was 760 grams. In those patients without a history of smoking, NAC necrosis rates were 0%. In those patients with a history of smoking, 83% of breasts experienced NAC necrosis (60% total, 40% partial). One hundred percent of patients who smoked experienced some degree of NAC necrosis. Among breasts with grade II versus grade III ptosis, NAC necrosis rates were roughly equal.
conclusionsHistorically, patients with large, ptotic breasts were excluded from NSM due to the proposed increased risk of NAC necrosis. This study demonstrates a safe approach towards NSM and reduction mastopexy using an inferior, wide-based, epithelialized pedicle. While all patients eventually achieved satisfactory results, there was an association between smoking and NAC necrosis. Smoking cessation is paramount to the operation's success.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.