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  • Title: Alternatives to subcutaneous mastectomy.
    Author: Hoffman S, Simon BE, Kahn S.
    Journal: Plast Reconstr Surg; 1979 Aug; 64(2):214-20. PubMed ID: 377340.
    Abstract:
    It is our belief that subcutaneous mastectomy often leads to complications, with poor results. In addition, because a considerable amount of breast tissue may be left behind, its value as a prophylactic operation must be questioned. Two alternatives are presented. In our experience, these lead to fewer complications with a more thorough removal of the mammary gland, and achieve a better appearance. The alternatives are (1) simple mastectomy with secondary reconstruction; (2) the type of mastectomy described by Spira--with primary reconstruction using a subpectoral silicone prosthesis covered by muscle and an inferiorly-based dermal flap.
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