Skin Sparing Mastectomy and Direct-to-Implant: Oncologic and Aesthetic Outcomes

Background: Breast reconstruction (BR) has long been acknowledged as a way to improve quality of life, enhance body image, and aid in the healing process after the psychological and emotional trauma of a mastectomy. Objective: Assessment of the short-term oncologic and cosmetic results in breast cancer patients undergoing skin-sparing mastectomy and rapid implant reconstruction. Patients and Methods: A comprehensive pre- and postoperative workup was performed on a total of 20 women who were candidates for skin-sparing mastectomy due to early-stage breast cancer, including patients whose cancer could be treated with a modified radical mastectomy. The interdisciplinary team discussed each patient to ensure that every possible course of treatment was considered for each individual. Metastatic workups, postoperative cosmetic results, and routine follow-ups were carried out. Results: The mean ± SD of psychosocial wellbeing according to breast Q satisfaction was 78.52±16.53; postoperative breast satisfaction was achieved in 69.75±18.04; postoperative implant satisfaction was achieved in 67.75±10.41; physical wellbeing in the chest was reported in 73.68±16.23; and sexual wellbeing was reported in 69.05±13.91. Conclusion: An appropriate and secure course of treatment is a skin-sparing mastectomy combined with rapid subcutaneous implant reconstruction. Finding suitable patients and skin flap viability is essential to this strategy and getting the best results.