Dissemin is shutting down on January 1st, 2025

Published in

Archives of Aesthetic Plastic Surgery, 3(30), p. 112-116, 2024

DOI: 10.14730/aaps.2024.01144

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Batwing-shaped de-epithelialization technique: a case report

Journal article published in 2024 by Yun Jung Kim ORCID, Young Seok Kim ORCID, Tai Suk Roh ORCID, In Sik Yun ORCID, Kyunghyun Min ORCID
This paper was not found in any repository; the policy of its publisher is unknown or unclear.
This paper was not found in any repository; the policy of its publisher is unknown or unclear.

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Abstract

For women with extremely ptotic breasts, achieving optimal aesthetic outcomes with implant-based breast reconstruction following nipple-sparing mastectomy presents significant challenges. Traditional mastopexy designs may be considered; however, they often lead to nipple-areola complex necrosis due to inadequate blood supply. We propose a novel approach to breast reconstruction that involves skin de-epithelialization to minimize excess mastectomy skin flap, combined with simultaneous contralateral reduction mammoplasty. This technique effectively preserves circulation to the nipple-areola complex while delivering satisfying aesthetic results, offering a viable solution for managing the complexities associated with large, ptotic breasts in patients undergoing nipple-sparing mastectomy.