Annals of Surgical Oncology

, Volume 22, Issue 10, pp 3404–3404 | Cite as

Skin Reduction Nipple-Sparing Mastectomy

  • Jill DietzEmail author
  • Greg Fedele
Breast Oncology


Nipple-sparing mastectomy has been shown to be a safe and effective treatment for many patients with early stage breast cancer. Large-breasted women who are gene positive or who have early breast cancer are not traditionally candidates for nipple-sparing mastectomy. The blood supply to the nipple is via the breast tissue and also the dermis, both of which would be severed if standard skin reduction were combined with mastectomy. This video shows how a nipple-sparing mastectomy can be combined with skin reduction while preserving the blood supply to the nipple. The excess skin is deepithelialized to preserve the dermal vessels. After mastectomy, the excess skin is imbricated to reduce the skin envelope. The deepithelialized lower flap “autoderm” can be sewn to the pectoralis muscle for coverage of the tissue expander. This technique allows large-breasted and ptotic patients to undergo mastectomy with preservation of their nipple–areolar complex as well as skin reduction to yield an improved cosmetic result.


Breast Cancer Blood Supply Breast Tissue Early Breast Cancer Early Stage Breast Cancer 
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Supplementary material

Supplementary material 1 (MP4 191834 kb)

Copyright information

© Society of Surgical Oncology 2015

Authors and Affiliations

  1. 1.Case Western Reserve School of MedicineSeidman Cancer CenterClevelandUSA
  2. 2.Center for Plastic and Cosmetic SurgeryClevelandUSA

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