Search Our Scientific Publications & Authors

BMC Surg 2022 Jun 20;22(1):234. Epub 2022 Jun 20.

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, 130 Dongdeokro, Jung-gu, Daegu, 41944, Korea.

Background: Several studies have discussed various methods of prepectoral direct-to-implant (DTI) breast reconstruction using an acellular dermal matrix (ADM) prosthesis to achieve full coverage. However, methods for anterior coverage have rarely been reported. In this study, prepectoral DTI breast reconstruction with complete anterior implant coverage was performed using a square piece of ADM. Read More

Rev Bras Ginecol Obstet 2022 Apr 27;44(4):376-384. Epub 2022 May 27.

Mastology Service, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Objective:  The presence of an extensive intraductal component is associated to an increasing risk of relapse in the nipple-areola complex. The aim of the present study was to evaluate the outcomes of patients diagnosed with ductal carcinoma in situ (DCIS) who underwent nipple-sparing mastectomy (NSM) with immediate breast reconstruction using silicone implants.

Methods:  We retrospectively analyzed the postoperative complications and oncological safety of 67 breast cancer patients diagnosed with pure DCIS who underwent NSM with immediate breast reconstruction using silicone implants between 2004 and 2018. Read More

Cleve Clin J Med 2022 05 2;89(5):241-242. Epub 2022 May 2.

Department of Dermatology, Hospital Regional Universitario de Málaga, Málaga, Spain.

Plast Reconstr Surg 2022 06 25;149(6):1265e-1266e. Epub 2022 Apr 25.

Division of Plastic and Reconstructive Surgery, McGill University Health Center, Montreal, Canada.

Plast Reconstr Surg Glob Open 2022 Apr 14;10(4):e4251. Epub 2022 Apr 14.

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Restoration of breast sensation has become an important goal in autologous and implant-based breast reconstruction after cancer-related mastectomy. Although gender-affirming mastectomy with free nipple grafting (FNG) results in similar sensory deficits, chest reinnervation concepts have not been applied to this procedure.

Methods: This article describes a novel technique to reinnervate the FNG in patients undergoing double incision gender mastectomy. Read More

Gland Surg 2022 Mar;11(3):524-534

Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.

Background: Large and ptotic breasts are considered an anatomical contraindication for nipple sparing mastectomy (NSM). Necrosis rates can be as high as 76%. The authors examined whether targeted preshaping mastopexy/reduction combined with simultaneous two-stage preshaping of the implant pocket prepares for an uneventful implant reconstruction. Read More

Acta Chir Plast 2022 ;64(1):18-22

Background: Breast ptosis is characterized by severe volumetric deficiency of the upper pole, excess of skin in the lower pole and descent of the nipple-areola complex (NAC). Mastopexy, also known as breast lifting, is the surgical operation aimed to reshape the ptotic breast. Recurrence of breast ptosis after mastopexy is common but to the best of our knowledge no study before has measured it. Read More

Aesthetic Plast Surg 2022 Apr 5. Epub 2022 Apr 5.

Section of Plastic and Reconstructive Surgery, Department of General Surgery, Kepler University Hospital, Krankenhausstrasse 9, 4020, Linz, Austria.

Background: Mastopexy is one of the most performed annual plastic surgery procedures; hence, various techniques are described over the last decades. It varies from simple skin incisions to internally shaped pedicle designs. In this study, the authors present their modified auto-augmentation mastopexy technique and the resulting patient satisfaction. Read More

J Plast Reconstr Aesthet Surg 2022 Jun 26;75(6):2001-2018. Epub 2022 Feb 26.

From the Division of Plastic and Reconstructive Surgery. Mexican Institute of Social Security (IMSS) No. 21 Pino Suárez y 15 de Mayo, col. Centro. c.p.64000. Monterrey Nuevo León, Mexico; Universidad de Monterrey. Av. Ignacio Morones Prieto 4500 Pte. 6238. San Pedro garza García NL. Mexico.

In Vivo 2022 Mar-Apr;36(2):839-847

Department of Breast Surgery, Campus Bio-Medico University, Rome, Italy.

Background/aim: The prediction of a sub-areolar tissue infiltration in breast cancer (BC) patients could be helpful in selecting the best functional outcome according to several reconstructive oncoplastic or radical techniques. This study aims to evaluate the diagnostic performance of preoperative ultrasound (US) guided sub-areolar biopsy (SAB) in detecting occult nipple involvement, in comparison with the definitive pathological examination of tissue after surgery.

Patients And Methods: We prospectively recorded clinical and pathological data of 46 consecutive patients scheduled for breast conserving surgery or nipple-areola sparing mastectomy. Read More

Plast Reconstr Surg 2022 Mar;149(3):579-584

From the Division of Plastic and Reconstructive Surgery, Virginia Commonwealth School of Medicine.

Summary: Prepectoral prosthetic breast reconstruction continues to gain popularity, largely due to its decreased postoperative pain, animation deformity, and operative time as compared to subpectoral reconstruction. Widespread use has led to opportunities for surgical revisions. While some techniques for submuscular reconstruction revisions, such as implant exchange and fat grafting, also apply to prepectoral revisions, others require modification for the prepectoral space. Read More

Plast Reconstr Surg 2022 Mar;149(3):549-558

From the Lipoplastic Hospital de Cirurgia Plastica; Villa Bella Clinic; Plastic Surgery Academy; and Department of Surgical Science, Tor Vergata University of Rome.

Background: Breast reduction is a time-consuming procedure with a relatively high complication rate. Furthermore, recurrent breast enlargement can occur in case of postoperative weight gain. The authors describe a breast reduction technique based on liposuction, followed mostly by skin resection alone, which makes this operation easier, faster, and safer, with more stable results. Read More

World J Surg Oncol 2022 Feb 21;20(1):42. Epub 2022 Feb 21.

Department of Gynecology and Gyn Oncology, Hospital for Women, University Hospital Basel, Basel, Switzerland.

Background: Lateral excess tissue after mastectomy is a frequent problem, which should be included into preoperative planning. Women with lateral tissue abundance are frequently impaired cosmetically and functionally. We suggest a novel oncoplastic mastectomy technique to eliminate the above mentioned. Read More

Plast Reconstr Surg Glob Open 2022 Feb 15;10(2):e4098. Epub 2022 Feb 15.

Northside Hospital, Department of Surgery, Northside Gwinnett Surgical Associates, Lawrenceville, Ga.

Mastectomy has evolved from approaches that involved extensive skin resection to nipple-sparing mastectomy (NSM). However, patients with advanced breast cancers who require extensive skin resection usually also have their nipple areola complexes (NACs) removed, even if they are distant from the cancer. Implant reconstruction in these patients is challenging as they require tissue expansion and, typically, radiotherapy with additional surgeries to complete their reconstruction. Read More

Plast Reconstr Surg Glob Open 2022 Feb 11;10(2):e4088. Epub 2022 Feb 11.

Oddzial Chirurgii Onkologicznej Szpital im, Dr. A.Sokołowskiego, Walbrzych, Poland.

Background: Breast reconstruction is currently performed as standard practice.

Methods: A prospective study was performed of patients after total mastectomy who underwent autologous breast reconstruction with fat grafting (FG) combined with internal tissue expansion between September 2015 and December 2020. The patients were classified into groups A to F depending on the steps of breast reconstruction. Read More

Aesthetic Plast Surg 2022 Feb 14. Epub 2022 Feb 14.

Department of Plastic Surgery, Royal Vinohrady Teaching Hospital, Prague, Czech Republic.

In patients with large breasts undergoing a subcutaneous mastectomy with immediate implant-based reconstruction, is necessary to perform a mastopexy. The combination of these procedures increases the complication rate. To reduce it, it is necessary to cover the lower pole of the implant. Read More

Aesthet Surg J 2022 May;42(6):NP393-NP403

Department of Plastic Surgery, Oregon Health and Science University, Eugene, OR, USA.

Background: Classically large, ptotic breasts have been a contraindication for nipple preservation during breast reconstruction. We present a technique of "smile mastopexy" (SM) to reduce the excess skin in both vertical and transverse directions, avoid a T-junction, preserve the nipple areolar complex, and add thickness to the upper pole of the breast at the time of mastectomy.

Objectives: The authors sought to demonstrate the safety and reliability of a novel technique that addresses the excess skin envelope during breast reconstruction while preserving the nipple-areola complex in large, ptotic breasts. Read More

Zhonghua Wai Ke Za Zhi 2022 Mar;60(3):237-243

Department of Breast Reconstruction and Oncoplastic Surgery, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin's Clinical Research Center for Cancer, Key Laboratory of Breast Cancer Prevention and Therapy, Tianjin Medical University, Ministry of Education, Sino-Russian Joint Research Center for Oncoplastic Breast Surgery, Tianjin Medical University Cancer Institute & Hospital, Tianjin 300060, China.

To examine the clinical effect of acellular bovine pericardium patch in implant based immediate breast reconstruction. The clinicopathological information of 141 breast cancer patients, who admitted to Department of Breast Reconstruction and Oncoplastic Surgery, Tianjin Medical University Cancer Hospital, underwent immediate mammoplasty with implants combined with acellular bovine pericardium patches were analyzed from June 2016 to October 2019. All patients were female, with the age of (38. Read More

Plast Reconstr Surg 2022 Feb;149(2):316-322

From the Divisions of Plastic and Reconstructive Surgery and General Surgery, Stanford University School of Medicine.

Background: Nipple-sparing mastectomy is associated with greater patient satisfaction than non-nipple-sparing approaches. Although various nipple-sparing mastectomy incisions have been described, the authors hypothesized that incision location would impact the rate and location of ischemic complications to the mastectomy skin flap.

Methods: A prospectively maintained database was queried to identify patients who underwent nipple-sparing mastectomy with immediate microsurgical reconstruction with a minimum postoperative follow-up of 12 months. Read More

World J Surg 2022 05 25;46(5):1116-1121. Epub 2022 Jan 25.

Department of Pathology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi, Tokyo, 173-8606, Japan.

Background: Nipple-areola complex (NAC) necrosis, which is caused by local ischemia, remains one of the complications associated with nipple-sparing mastectomy. Obesity, smoking, diabetes mellitus, and immediate breast reconstruction have been identified as risk factors of NAC necrosis. The current study examined the correlation between NAC necrosis and nipple volume. Read More

Ecancermedicalscience 2021 1;15:1311. Epub 2021 Nov 1.

Department of Breast Surgery, Oxford University Hospitals NHS Foundation Trust, Oxfordshire OX3 7LF, UK.

Background: Breast cancers located centrally require excision of nipple-areola complex. A simple central wide excision is a safe option but results in suboptimal aesthetic outcome. An oncoplastic option involves therapeutic mammoplasty with or without areolar reconstruction, limited to moderate and large ptotic breasts. Read More

Plast Reconstr Surg 2022 Jan;149(1):13e-17e

From the Department of Surgery, Paoli Calmettes Institute; and Aix Marseille University, National Institute of Health and Medical Research (INSERM), Institut de Recherche pour le Developpement (IRD), Sciences Économiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM).

Summary: Oncoplastic breast surgery is an evolving field combining both breast aesthetic surgery and oncologic breast surgery. It aims to optimize cosmetic outcomes without interfering with oncologic safety. The superior hemimastectomy is a technique that can be considered for large upper-quadrant breast tumors or multifocal and multicentric breast tumors localized in the upper quadrants. Read More

Folia Med Cracov 2021 09;61(3):115-124

Department of Plastic Surgery, Medical Centre for Postgraduate Education, Professor W. Orlowski Memorial Hospital, Warsaw, Poland.

With the steady increase in the incidence of breast cancer in women, treatment that includes not only tumor removal but also breast reconstruction is becoming a more relevant issue for oncologic and plastic surgeons. Mastectomy recently evolved as a form of primary prevention of hereditary breast cancer, commonly performed in combination with simultaneous reconstruction. A case of 44-year-old woman who underwent right mastectomy with adjuvant radiotherapy is presented. Read More

Cureus 2021 Nov 3;13(11):e19238. Epub 2021 Nov 3.

Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, JOR.

Introduction Nipple-sparing mastectomy (NSM), a procedure involving careful dissection of the breast tissue whilst keeping the nipple-areola complex (NAC) intact, is now increasingly practiced amongst surgeons in the treatment of certain situations of breast cancer. Given the importance of breasts to the female body image, this type of conservative breast surgery takes into account patient satisfaction and overall cosmesis, whilst ensuring appropriate oncological safety. Methods and results Four nipple-sparing mastectomy procedures were performed in our tertiary care centre, Princess Basma Teaching Hospital, in Jordan between June and September 2019. Read More

Handchir Mikrochir Plast Chir 2021 Dec 7;53(6):564-571. Epub 2021 Dec 7.

Agaplesion Markus Krankenhaus; Klinik für Plastische und Ästhetische, Wiederherstellungs- und Handchirurgie.

Background: Mastectomy is an essential part of gender reassignment surgery for female-to-male transgender patients. Available studies indicate high patient satisfaction within this patient group; however, a standardised evaluation procedure is yet to be established.

Method: Based on the BREAST-Q questionnaire, we developed a modified version targeting issues concerning FM patients; hence, all questions focussing on the physiology of biologically female patients were removed or tailored to address more specific transgender issues. Read More

J Clin Med 2021 Nov 9;10(22). Epub 2021 Nov 9.

Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area (DAME), University of Udine, 33100 Udine, Italy.

Preoperative breast volume estimation is very important for the success of the breast surgery. In this study four different breast volume determination methods were compared. The end-point of this prospective study was to evaluate the concordance between different modalities of breast volume assessment (MRI, BREAST-V, mastectomy specimen weight, conversion from weight to volume of mastectomy specimen) and the breast prosthetic volume implanted. Read More

Gland Surg 2021 Oct;10(10):2966-2977

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

Background: Reconstruction of the nipple-areola complex is the final step in surgical restoration of the breast. Nipple-areola reconstruction was previously done after an interval of several months using variable techniques, often resulting in low projection and flattened breast mound over time. We present algorithm of simultaneous nipple reconstruction (SNR) that leaves adequate residual projection and naturally shaped breast mound. Read More

BMJ Case Rep 2021 Nov 17;14(11). Epub 2021 Nov 17.

Department of Plastic Surgery, Sydvestjysk Sygehus, Esbjerg, Denmark.

Subcutaneous mastectomy plays a major role in female to male (FtM) gender affirming surgery, and obtaining a flattering chest contour remains a challenge to the surgeon. We present an operative method using a dermal nipple-areola complex (NAC) flap, with the aim to create a naturally masculine appearance, while reducing the risk of NAC complications by maintaining sufficient neurovascularisation. This case report describes how the novel approach may potentially be applied as an alternative to the traditionally performed free nipple graft technique in FtM gender confirming surgery. Read More

Cureus 2021 Oct 6;13(10):e18540. Epub 2021 Oct 6.

Plastic and Reconstructive Surgery, Azerbaijan Medical University, Baku, AZE.

 Amastia refers to a condition where breast tissue, nipples, and areoles are congenitally absent, and it can affect one (unilateral) or both (bilateral) breasts. Congenital amastia is a rare condition with only 34 reported cases in the literature. In this case, we report a 17-year-old female with congenital unilateral amastia of the right breast. Read More

Anticancer Res 2021 Nov;41(11):5723-5728

Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Cancer and Infectious Disease Center Komagome Hospital, Tokyo, Japan.

Background/aim: Areola-sparing mastectomy (ASM), a conservative mastectomy with nipple hollowing, can be applied to intraductal breast cancer with a tumour-nipple-areola complex (NAC) distance of ≤2 cm. Here, we evaluated the safety and effectiveness of ASM.

Patients And Methods: We retrospectively reviewed the surgical outcomes of 61 patients (64 breasts) who underwent ASM between 2016 and 2020. Read More