The modified B-mammoplasty incision: an alternative skin-conserving technique for mastectomy with immediate breast reconstruction
Munnoch, D.A.; Preece, P.E.; Stevenson, J.H.
Annals of the Royal College of Surgeons of England 80(4): 257-261
1998
ISSN/ISBN: 0035-8843 PMID: 9771225 Document Number: 493782
A modification of the B-mammoplasty incision (originally described by Regnault for reduction mammoplasty) is presented for patients undergoing skin-conserving mastectomy and reconstruction. This approach has several advantages; not only does it facilitate good exposure for the oncological surgeon to carry out the mastectomy, but it can easily be extended into the axilla to allow nodal clearance and microvascular access. It creates a suitable pocket into which a flap can be tailored or implant/expander inserted, and further adjustment of the breast size or shape can be undertaken easily. Most importantly, the scar is confined to the infralateral aspect of the breast, leaving the aesthetically important upper and medial breast skin scar free.