Classically large, ptotic breasts have been a contraindication for nipple preservation during breast reconstruction. The authors present their technique of "Smile Mastopexy" to address some of these issues. This reduces the excess skin in both vertical and transverse directions, avoids a "T-junction", preserves the nipple areolar complex, and adds thickness to the upper pole of the breast at the time of mastectomy.
This is a retrospective review of a single surgeon performing the "Smile Mastopexy" for immediate 2 stage prosthetic breast reconstruction. All were performed in the pre-pectoral pocket without the use of acellular dermal matrices.
The "Smile Mastopexy" is a safe and reliable technique in large, ptotic breasts during prosthetic breast reconstruction. It preserves the NAC, reduces the excess skin envelope, adds thickness to the upper pole, and allows for future skin revisions using the same scar if necessary.
Read full article here: https://pubmed.ncbi.nlm.nih.gov/35106550/