Batwing-shaped de-epithelialization technique: a case report
- Author:
Yun Jung KIM
1
;
Young Seok KIM
;
Tai Suk ROH
;
In Sik YUN
;
Kyunghyun MIN
Author Information
- Publication Type:Case Report
- From:Archives of Aesthetic Plastic Surgery 2024;30(3):112-116
- CountryRepublic of Korea
- Language:English
- Abstract: For women with extremely ptotic breasts, achieving optimal aesthetic outcomes with implant-based breast reconstruction following nipple-sparing mastectomy presents significant challenges. Traditional mastopexy designs may be considered; however, they often lead to nipple-areola complex necrosis due to inadequate blood supply. We propose a novel approach to breast reconstruction that involves skin de-epithelialization to minimize excess mastectomy skin flap, combined with simultaneous contralateral reduction mammoplasty. This technique effectively preserves circulation to the nipple-areola complex while delivering satisfying aesthetic results, offering a viable solution for managing the complexities associated with large, ptotic breasts in patients undergoing nipple-sparing mastectomy.
