Background Lateral excess tissue after mastectomy is a frequent problem, which should be included into preoperative planning. Women with lateral tissue abundance are frequently impaired cosmetically and functionally. We suggest a novel oncoplastic mastectomy technique to eliminate the above mentioned. Methods Surgical technique Two small horizontal lines are drawn, one line above and one line below the Nipple Areola Complex. These lines should represent the possible skin excision and allow tight skin closure. Consecutively, two ending points of the incision are planned, one close to the xyphoid area and the other one in the anterior axillary line. These points are then interconnected in an s-shaped manner to form a double s-shaped skin excision. Results The double S-shaped technique is an easy reproducible technique which not only allows good access to the lateral side of the mastectomy, but also and mainly the reduction of lateral fat and skin. Conclusion The double S mastectomy allows for simultaneous removal of access in the axillary region, eliminating skin, and fat as needed and preventing the lateral dog ear
Breast Surgery
The double S technique to achieve aesthetic flat closure after conventional mastectomy, World Journal of Surgical Oncology
Oncoplastic Breast Surgery in the Treatment of Breast Cancer
Resources for Providers - Oncoplastic Mastectomy - Aesthetic Flat Closure - NPOAS
AACS 2023 Annual Scientific Meeting, Taking Place February 9-11, 2023, 2022
Mastectomy With Flat Closure: What Oncology Nurses Need to Know
Aesthetic Flat Closure: An Overview From a Breast Cancer and Plastic Surgeon — Keep A Breast Foundation
Bilateral or Double Mastectomy: What to Expect and Recovery
PDF) Post-mastectomy breast reconstruction