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    The Lazy S Design: A Novel Skin Closure Design in Skin-Sparing Mastectomy for Implant-Based Breast Reconstruction.
    Arch Plast Surg 2017 Jul 15;44(4):344-347. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
    Preservation of the breast skin envelope during immediate implant-based breast reconstruction is important for producing symmetrical and natural-looking breasts. We propose the lazy S design for the closure of round-shaped wounds with the hope of improving the aesthetic outcomes and reducing the tension on the wound by preserving the skin. Additionally, the direction of tension is dispersed due to the shape of this design. Patients undergoing implant reconstruction after skin-sparing mastectomy may benefit from the lazy S design.

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    Immediate implant-based breast reconstruction following total skin-sparing mastectomy: defining the risk of preoperative and postoperative radiation therapy for surgical outcomes.
    Plast Reconstr Surg 2014 Sep;134(3):396-404
    San Francisco, Calif. From the Divisions of Plastic and Reconstructive Surgery and Surgical Oncology, and the Department of Radiation Oncology, University of California, San Francisco.
    Background: Radiation therapy is increasingly used in breast cancer therapy. With total skin-sparing mastectomy and nipple/areola complex preservation, defining the risks of various treatment regimens for morbidity is important, in the setting of immediate prosthetic reconstruction. The authors assessed the effects of premastectomy and postmastectomy radiation therapy on outcomes in total skin-sparing mastectomy and immediate prosthetic reconstruction. Read More
    Skin-reducing mastectomy and one-stage implant reconstruction with a myodermal flap: a safe and effective technique in risk-reducing and therapeutic mastectomy.
    J Plast Reconstr Aesthet Surg 2013 Sep 8;66(9):1188-94. Epub 2013 May 8.
    Breast Surgery Unit, Belfast Health and Social Care Trust, Belfast City Hospital, Level 2, 51 Lisburn Road, Belfast BT9 7AB, United Kingdom.
    Introduction: Immediate reconstruction following mastectomy for breast cancer has been shown to be oncologically safe and associated with improved psychosocial outcomes for patients. Bostwick described a technique for one-stage implant based reconstruction, combining skin-sparing mastectomy with concurrent reduction of the skin envelope. This report reviews the experience of a single centre using skin-reducing mastectomy and one-stage implant reconstruction in both early stage breast cancer and risk-reducing mastectomy, with specific reference to frequency of complications, implant loss and oncological outcomes. Read More
    Skin sparing mastectomy: technique and suggested methods of reconstruction.
    J Egypt Natl Canc Inst 2014 Sep 22;26(3):153-9. Epub 2014 Jul 22.
    National Cancer Institute, Cairo University, Egypt.
    Aim: To demonstrate the feasibility and accessibility of performing adequate mastectomy to extirpate the breast tissue, along with en-block formal axillary dissection performed from within the same incision. We also compared different methods of immediate breast reconstruction used to fill the skin envelope to achieve the best aesthetic results.

    Methods: 38 patients with breast cancer underwent skin-sparing mastectomy with formal axillary clearance, through a circum-areolar incision. Read More
    Optimizing the total skin-sparing mastectomy.
    Arch Surg 2008 Jan;143(1):38-45; discussion 45
    Carol Franc Buck Breast Care Center, Department of Surgery, University of California, San Francisco, 1600 Divisidero St, Box 1710, San Francisco, CA 94115-1710, USA.
    Hypothesis: Dissection of subnipple tissue to spare the entire skin envelope of the breast (total skin-sparing mastectomy) is a feasible option in appropriately selected patients and yields an excellent final cosmetic outcome.

    Design: Prospective surgical technique outcomes study.

    Setting: University-based breast care referral center. Read More