Eur J Plast Surg (2015) 38:291–298 DOI 10.1007/s00238-015-1107-0 ORIGINAL PAPER Simplified skin excision pattern for skin-sparing/reducing mastectomy and direct-to-implant single-stage immediate (DISSI) breast reconstruction 1 1 2 1 1 N. Papazian & B. Atiyeh & H. Becker & S. Dibo & A. Ibrahim Received: 24 December 2014 /Accepted: 6 May 2015 /Published online: 28 May 2015 Springer-Verlag Berlin Heidelberg 2015 Abstract provided adequate patients’ selection and enough surgeons’ Background One-stage implant-based breast reconstruction expertise to perform it. with minimal scarring is a highly appealing option to most Level of Evidence: Level IV, therapeutic study. patients. In fact, expander/implant reconstruction accounts for nearly 70 % of all breast reconstructions. We present our Keywords One-stagebreastreconstruction Immediatebreast . . experience with a simplified skin-preserving/reducing exci- reconstruction Implant-based breast reconstruction sion pattern in association with immediate breast reconstruc- Skin-sparing mastectomy Becker tissue expander tion using permanent expander or prosthesis. Methods Thirty-two patients with 45 reconstructed breasts (unilateral or bilateral) between February 2010 and Introduction March 2014 are included in this study. All implants, except for two reconstructed breasts, were placed in a dual plane. Despite initial apprehension of possible increased local recur- Implants used were either a permanent expander or permanent rence rates
European Journal of Plastic Surgery – Springer Journals
Published: May 28, 2015
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