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Skin-Reducing Mastectomy: Dermal Sling

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Oncoplastic Breast Surgery Techniques for the General Surgeon

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Abstract

A generalized lack of evidence is associated to mastectomies and reconstructions with dermal flaps. However these technique may warrant good cosmetic results in women with macromastia who can benefit from contralateral adjustment with symmetrical scarring. When performing DTI (direct to implant) breast reconstructions, the complication rates may be rather high with skin necrosis especially at the junction of the inverted T. For this reason a two-stage breast reconstruction would be advisable especially for patients at high risk (smokers, overweight, diabetic). Nipple preservation is related to the nipple to sternal notch distance. For more than 24 cm, a preservation on a double pedicle could be performed safely with few necrotic complications and predictable final results. When the nipple to sternal notch is higher than 29 cm, nipple saving is not recommended as a standard.

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Author information

Authors and Affiliations

  1. School of Plastic Surgery, University of Milan, Milan, Italy

    Maurizio Bruno Nava

  2. Group for Reconstructive and Therapeutic Advancements, G.RE.T.A, Milan, Naples, Catania, Italy

    Maurizio Bruno Nava, Nicola Rocco & Giuseppe Catanuto

  3. Multidisciplinary Breast Unit, Azienda Ospedaliera Cannizzaro, Catania, Italy

    Nicola Rocco

  4. Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy

    Giuseppe Catanuto

Authors
  1. Maurizio Bruno Nava
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  2. Nicola Rocco
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  3. Giuseppe Catanuto
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Editor information

Editors and Affiliations

  1. University of Texas Medical Branch, Galveston, TX, USA

    V. Suzanne Klimberg

  2. Breast Surgery, Guy’s and St. Thomas’ Hospital, King’s College London Guy’s and St. Thomas’ Hospital, London, UK

    Tibor Kovacs

  3. Clinica Universidad de Navarra, Universidad de Navarra, Madrid, Spain

    Isabel T. Rubio

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Nava, M.B., Rocco, N., Catanuto, G. (2020). Skin-Reducing Mastectomy: Dermal Sling. In: Klimberg, V., Kovacs, T., Rubio, I. (eds) Oncoplastic Breast Surgery Techniques for the General Surgeon. Springer, Cham. https://doi.org/10.1007/978-3-030-40196-2_18

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  • DOI: https://doi.org/10.1007/978-3-030-40196-2_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-40195-5

  • Online ISBN: 978-3-030-40196-2

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