ArticleAesthetic surgery journal. Open forum2025
Nipple-Sparing Skin-Reducing Mastectomy and Immediate Prepectoral Breast Reconstruction: A New Surgical Approach.
Article in Aesthetic surgery journal. Open forum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
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Abstract
Background: Nipple-sparing mastectomy in medium-large, ptotic breasts presents challenges because of redundant skin and risks to the nipple-areola complex (NAC). Advances in skin-reducing techniques and immediate prepectoral reconstruction aim to improve both oncological safety and aesthetic outcomes. Objectives: The authors of this study present a novel surgical approach designed to enhance NAC vascularization by performing a nipple-sparing skin-reducing mastectomy exclusively through the lower lateral triangle of a Wise-pattern incision with immediate prepectoral polyurethane-coated breast implant (Microthane, POLYTECH, Dieburg, Germany) reconstruction. This approach seeks to minimize implant exposure risks by limiting the scar laterally, thus optimizing breast contour and patient satisfaction. Methods: A prospective analysis of 10 patients undergoing monolateral procedures was conducted between April and August 2023. Inclusion criteria included Grade 2 ptosis with an expected nipple repositioning of ≤8 cm. The technique preserved vascular connections through precise de-epithelialization and assessed intraoperative flap perfusion. Implant selection ensured symmetry. Postoperative outcomes were evaluated using the BREAST-Q questionnaire and routine follow-ups (18 months). Associations between BREAST-Q scores and patient characteristics were analyzed through Pearson correlation and analysis of variance. Results: Mean patient age was 52 years, BMI 24 kg/m Conclusions: This single-stage technique for immediate prepectoral breast reconstruction in ptotic breasts may be safe and provide good aesthetic and functional outcomes. Further studies with extended follow-up and greater numbers are warranted. Level of Evidence 4 Therapeutic:
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