Seminars in Plastic Surgery 2019; 33(04): 247-257
DOI: 10.1055/s-0039-1696988
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Implant Reconstruction in Nipple Sparing Mastectomy

Carrie K. Chu
1  Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas
,
Matthew J. Davis
2  Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Amjed Abu-Ghname
2  Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Sebastian J. Winocour
2  Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Albert Losken
3  Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
4  Division of Plastic and Reconstructive Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
,
Grant W. Carlson
3  Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
4  Division of Plastic and Reconstructive Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
› Author Affiliations
Further Information

Publication History

Publication Date:
17 October 2019 (online)

Abstract

Nipple sparing mastectomy has been popularized in the modern era of breast cancer treatment due to its touted advantages with regard to resultant body image and reconstructive outcome. Implant-based techniques remain the most prevalent means of breast reconstruction. Special considerations regarding patient selection and technique are reviewed for implant reconstruction in the setting of mastectomy with nipple preservation. Applications for prepectoral and direct-to-implant reconstruction are discussed and published outcomes are summarized.

Disclosures

None of the authors have a financial interest in any of the products, devices, or drugs mentioned in this manuscript.