Immediate nipple-areola-sparing mastectomy reconstruction: An update on oncological and reconstruction techniques

Figure 4 Nipple-sparing mastectomy/superior periareolar incision. A and B: A 56-year-old patient with invasive ductal carcinoma of the left breast (2.3 cm); C and D: The patient underwent a left nipple-sparing mastectomy mastectomy with a superior periareolar incision and sentinel lymph node biopsy. The oncological procedure was immediately followed by a free deep inferior epigastric perforator flap reconstruction; E and F: Five years postoperative appearance with a very good outcome. The superior periareolar incision was converted to a total circumareolar incision in order to achieve a better symmetry during the second stage of reconstruction.