Because of increased risk for nipple necrosis, many surgeons believe large ptotic breasts to be a relative contraindication to nipple-sparing mastectomy (NSM). A retrospective review was performed on 85 consecutive patients who underwent NSM with 141 immediate perforator free-flap breast reconstructions. We analyzed the subset of patients with large ptotic breasts, defined as cup size C or grea...

499 same procedure to access the IMC SLN immediately following a mastectomy. In the more difficult case where there is not a mastectomy, the use of the vertical mastopexy incision can allow access to the rib cartilage and the IMC without creating a parasternal incision, which would cause an unsightly scar. For these reasons, a plastic surgeon performs SLNB of IMC nodes at our institution. This ...

BACKGROUND Fibroadenomas are hyperplasia arising from the terminal ductulo-lobular unit and adjacent tissue of the breast. As single fibroadenoma, even giant ones are easily manageable, however multiple fibroadenomas pose a particular challenge. CASE REPORT In 1971, Liacyr Ribeiro described his new technique for reduction mammaplasty. Four years later, the first 20 cases were published. This ...