PMID: 377340Aug 1, 1979Paper

Alternatives to subcutaneous mastectomy

Plastic and Reconstructive Surgery
S HoffmanS Kahn

Abstract

It is our belief that subcutaneous mastectomy often leads to complications, with poor results. In addition, because a considerable amount of breast tissue may be left behind, its value as a prophylactic operation must be questioned. Two alternatives are presented. In our experience, these lead to fewer complications with a more thorough removal of the mammary gland, and achieve a better appearance. The alternatives are (1) simple mastectomy with secondary reconstruction; (2) the type of mastectomy described by Spira--with primary reconstruction using a subpectoral silicone prosthesis covered by muscle and an inferiorly-based dermal flap.

Citations

Jul 1, 1986·Mayo Clinic Proceedings·J E Woods

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