Inverted-T skin-reducing mastectomy with immediate implant reconstruction using the submuscular-subfascial pocket. Plastic and reconstructive surgery, July 2012, Vol. 130(1), p.31-41.
Salgarello, M., et al.
http://journals.lww.com/plasreconsurg/Abstract/2012/07000/Inverted_T_Skin_Reducing_Mastectomy_with_Immediate.7.aspx
The inverted-T skin-reducing mastectomy with implant reconstruction represents a very effective reconstructive and cosmetic option in patients with macromastia. However, in this subset of patients, the risk of skin flap necrosis, especially at the T-junction, is significant. In this setting, complete implant coverage with viable tissue beneath the mastectomy skin flaps is essential to reduce morbidity. In this article, the authors retrospectively review their series of 16 skin-reducing mastectomy and immediate one-stage implant reconstructions using the submuscular-subfascial pocket, analyzing the reconstructive issues and cosmetic outcomes.
