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Patients with ptosis can safely undergo nipple-sparing mastectomy, full mastopexy

Flap-based breast reconstruction has potential advantages over implant-based breast reconstruction in women with breast ptosis who desire nipple-sparing mastectomy.

In a retrospective review, researchers identified 70 patients who underwent 116 nipple-sparing mastectomies. The patients had grade II or III ptosis and underwent immediate perforator flap reconstruction and a mastopexy procedure.

Average patient age was 49.6 years and a mean BMI of 26.25.

Mastectomy weights averaged 492.25g.

There were eight breasts that previously underwent lumpectomy, of which five also received radiation after the procedure.

One patient previously underwent breast reduction with a Wise pattern incisional design.

The researchers demonstrated a 100% success rate for nipple-areola survival among these women, who had mastectomy weights as high as 877 g.

No cases of nipple-areola complex necrosis were found following secondary mastopexy.

If oncologic criteria are met, this research may allow for women with moderate-to-ptosis to undergo nipple- sparking mastectomy, according to researchers. – by Abigail Sutton

Disclosure: The researchers reported no relevant financial disclosures.