Stacked Microsurgical Autologous Flap Breast Reconstruction Is an Ideal Option after Unilateral Nipple-Sparing Mastectomy

Nipple-sparing mastectomy (NSM) is the latest advancement in the treatment of breast cancer, which permits complete preservation of the nipple-areola complex (NAC). Recent studies suggest similar recurrence rates with NSM compared with traditional mastectomy techniques.1–6 Moreover, NSM has been demonstrated in multiple studies to be a safe and effective procedure from a reconstructive perspective, with acceptably low rates of NAC necrosis among other complications.7–12 As the indications for NSM continue to be established, the popularity of this procedure has risen among both patients and surgeons. NSM allows for the complete range of reconstructive procedures, including both prosthetic and autologous options.13–15 For many patients, NSM with microsurgical autologous reconstruction is an attractive option as it provides for a natural-appearing breast in a single procedure.