Eur J Plast Surg (2012) 35:119–120 DOI 10.1007/s00238-011-0633-7 LETTER TO THE EDITOR Spare the skin: a technique for minimising native skin flap damage in skin-sparing mastectomy Esta S. Bovill & Anna Goodwin-Walters Received: 26 April 2011 /Accepted: 20 July 2011 /Published online: 9 August 2011 Springer-Verlag 2011 Sir, instruments such as skin hooks, this permits a more secure, Skin-sparing mastectomy (SSM) followedbyimme- user-friendly skin retraction and creation of greater multi- diate breast reconstruction has emerged as an effective directional skin tension so advantageous to this particular and popular treatment for early-stage breast cancer procedure, achieved with relative impunity due to avoid- requiring mastectomy and, increasingly, for risk-reducing ance of repeated handling and crushing of the preserved surgery. SSM is said to allow preservation of the skin edge. The technique can obviate the need for inframammary fold and breast contour, facilitating imme- manipulation of the residual skin edge entirely, as at diate breast reconstruction and providing enhanced colour completion of the mastectomy the skin-flags are excised and texture match with the contralateral side [2–5]. prior to immediate reconstruction, leaving the areola intact However, SSM is vulnerable to complications of the within the specimen. native skin envelope, with an incidence ranging
European Journal of Plastic Surgery – Springer Journals
Published: Jan 1, 2012
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