Skin-sparing mastectomy and mastopexy: A safe “one step” option with immediate DIEP flap and simultaneous Nipple areola complex reconstruction

The creation of the nipple-areola complex (NAC) is the final step in surgical restoration of the breast. It is often considered a secondary complement to the reconstruction and is usually performed after several months. This subjects the patient to a new surgical intervention and raises hospital costs, specially in the pandemic time with limited theater resource. (1 Escudero F. Historical evolution of breast reconstruction. An Sist Sanit Navar. 2005; 28: 7-18 Google Scholar , 2 Ph Blondeel Hijjawi J. Depypere H. Roche N. Van Landuyt K. Shaping the breast in aesthetic and reconstructive breast surgery: an easy three- step principle. Plast Reconstr Surg. 2009; 124: 372-382 Crossref Scopus (23) Google Scholar , 3 Healy C. Allen R. The evolution of perforator flap breast reconstruction: twenty years after the first DIEP flap. J reconstr Microsurg. 2014; 30: 121-126 PubMed Google Scholar , 4 Nahabedian M. Patel K. Autologous flap breast reconstruction: surgical algorithm and patient selection. J Surg Oncol. 2016; 113: 865-874 Crossref PubMed Scopus (33) Google Scholar , 5 Lozken A. Dugal C. Desai K. McCullough M. Gruszynski M. Grant C. Time to completion of nipple reconstruction what factors are involved?. Ann Plast Surg. 2013; 70: 530-532 Crossref Scopus (14) Google Scholar )