Skip to main content

Advertisement

SpringerLink
Log in

Nipple delay prior to completion mastectomy for oncoplastic surgery

  • Case Report
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Oncoplastic breast surgery is becoming increasingly popular, aiming to provide adequate oncological clearance of a tumour, whilst devoting attention to breast aesthetics. There are instances, however, where completion mastectomy is necessary, and this poses a threat to nipple viability due to the previous oncoplastic procedure. Delay is a technique used to axialise the blood supply of an angiosome, providing more reliable supply to a distal segment of tissue. This report details two cases where the technique of nipple delay was used to ensure nipple-areolar viability prior to proceeding with completion mastectomy. Nipple delay assists in the decision-making process for completion mastectomy in this setting, anticipating the results of complete oncological clearance whilst ensuring the best aesthetic outcome.

Level of Evidence: Level V, therapeutic study

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Australia C (2014) Breast cancer statistics. http://canceraustralia.gov.au/affected-cancer/cancer-types/breast-cancer/breast-cancer-statistics. Accessed June 2014 2014

  2. Silverstein MJ, Mai T, Savalia N, Vaince F, Guerra L (2014) Oncoplastic breast conservation surgery: the new paradigm. J Surg Oncol 110(1):82–89

    Article  PubMed  Google Scholar 

  3. Losken A, Dugal CS, Styblo TM, Carlson GW (2014) A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg 72(2):145–149

    Article  CAS  PubMed  Google Scholar 

  4. Anderson BO, Masetti R, Silverstein MJ (2005) Oncoplastic approaches to partial mastectomy: an overview of volume-displacement techniques. Lancet Oncol 6(3):145–157

    Article  PubMed  Google Scholar 

  5. Singletary SE (2002) Surgical margins in patients with early-stage breast cancer treated with breast conservation therapy. Am J Surg 184(5):383–393

    Article  PubMed  Google Scholar 

  6. Dhar SC, Taylor GI (1999) The delay phenomenon: the story unfolds. Plast Reconstr Surg 104(7):2079–2091

    Article  CAS  PubMed  Google Scholar 

  7. Taylor I (2007) The blood supply of the skin. In: Thorne C (ed) Grabb and Smith’s plastic surgery, 5th edn. Lippincott Williams and Wilkins, Philadephia, pp 33–41

    Google Scholar 

Download references

Conflict of interests

Marc A. Seifman and Richard A. Rahdon declare they have no conflict of interest.

Ethical standards

For this type of study a formal consent is not required.

Author information

Authors and Affiliations

  1. Department of Plastic, Reconstructive and Hand Surgery, University Hospital Geelong, Barwon Health, Geelong, VIC, Australia

    Marc A. Seifman & Richard A. Rahdon

Authors
  1. Marc A. Seifman
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Richard A. Rahdon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Richard A. Rahdon.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Seifman, M.A., Rahdon, R.A. Nipple delay prior to completion mastectomy for oncoplastic surgery. Eur J Plast Surg 38, 327–330 (2015). https://doi.org/10.1007/s00238-015-1076-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00238-015-1076-3

Keywords

Search

Navigation