A-14 SSM WITH IMPLANT RECONSTRUCTION

Skin sparing mastectomy is performed with two techniques. If the breasts are larger with 3rd degree ptosis or in case of 3rd degree ptosis alone, we use the technique of inverted T with a dermal flap with or without preservation of NAC. In this technique, the dermal flap covers part of the implant, which is not covered with pectoral muscle. In case of 1st and 2nd degree ptosis with smaller or middle volume breasts, we have been using the technique of professor Salgerello for the last 15 months –an oblique approach in the upper lateral quadrant of the breast. From this approach is performed skin sparing mastectomy with dissection of the pocket for implants under the muscle so that the submuscular pocket for the implant did not communicate with the pocket after mastectomy. We performed SSM with implant reconstruction in 85 patients since the year 2009 until 30.6.2015. The method of inverted T with a dermal flap was used in 65 patients with 25% wound complications. Salgarello method was used in 20 patients with 5% wound complications. If the shape and size of breasts enables, we definitely prefer the technique according to Salgarello. (Fig. 14.1, 14.2, 14.3, 14.4.)