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Three Pedicles-Based Nipple-Sparing Skin-Reducing Mastectomy (TP-NSSRM) combined with Pre-Pectoral Implant-Based Breast Reconstruction by Simone La Padula; Rosita Pensato; Rasmieh Al-Amer; Barbara Hersant; Jean Paul Meningaud; Warren Noel; Francesco D’Andrea; Nicola Rocco is a Medicine article available to read on EtoBox.

What is Three Pedicles-Based Nipple-Sparing Skin-Reducing Mastectomy (TP-NSSRM) combined with Pre-Pectoral Implant-Based Breast Reconstruction about?

## Introduction: Nipple-sparing mastectomy (NSM) and immediate breast reconstruction have demonstrated positive aesthetic outcomes and high patient satisfaction. However, challenges arise when performing NSM on patients with large and ptotic breasts due to the higher risk of nipple-areolar complex (NAC) necrosis. This study proposes a new technique: the three pedicles-based nipple-sparing skin-reducing mastectomy (TP-NSSRM), combined with direct-to-implant (DTI) breast reconstruction, aimed at reducing complications. ## Materials and Methods: A prospective study was conducted from November 2021 to April 2022, enrolling patients with large and drooping breasts requiring mastectomy for breast cancer treatment or risk reduction. Patient selection criteria included a sternal notch to nipple distance of ≥ 23 cm, Grade 3 ptosis, and eligibility for immediate prepectoral DTI breast reconstruction. Patient satisfaction was assessed using BREAST-Q modules. ## Results: Seventy-two TP-NSSRM procedures combined with immediate DTI-based breast reconstruction were performed on a total of 45 patients. High patient satisfaction was observed, and statistically significant improvements were noted in

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Author

Simone La Padula; Rosita Pensato; Rasmieh Al-Amer; Barbara Hersant; Jean Paul Meningaud; Warren Noel; Francesco D’Andrea; Nicola Rocco

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2023

Field

Medicine (Health Sciences)