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Immediate breast reconstruction with a wise pattern mastectomy and NAC-sparing McKissock vertical bipedicle dermal flap.

Journal article
Authors Richard Lewin
Christian Jepsen
Håkan Hallberg
Emma Hansson
Published in Journal of plastic, reconstructive & aesthetic surgery : JPRAS
Volume 71
Issue 10
Pages 1432-1439
ISSN 1878-0539
Publication year 2018
Published at Institute of Clinical Sciences, Department of Plastic Surgery
Pages 1432-1439
Language en
Links dx.doi.org/10.1016/j.bjps.2018.05.0...
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Plastic surgery

Abstract

Preservation of the nipple-areola complex (NAC) in immediate reconstruction of ptotic and large breasts is surgically challenging. This article presents a modification of the inferior dermal flap ("dermal sling") to a vertical bipedicle flap with NAC preservation. This flap is well described in breast reductions but has never been described in a mastectomy setting. The study reviews data for a case series of 17 breasts in 11 women who underwent breast reconstruction with the new technique. The complication rate was 12%, thus indicating that the vertical bipedicle NAC-sparing flap should be considered a feasible option for breast reconstruction in women with ptotic and/or large breasts.

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