Abstract
The inverted-T skin-reducing mastectomy (SRM) with implant reconstruction represents the best reconstructive and cosmetic option in patients with macromastia needing mastectomy. However, in this subset of patients the risk of skin flap necrosis, especially at the T-junction, is significant. In this setting, complete implant coverage with viable tissue beneath the mastectomy skin flaps is paramount to reduce morbidity. In this chapter, the authors retrospectively review their case load of inverted-T SRM and immediate one-stage implant reconstruction by using the submuscular-subfascial pocket, with particular focus on the relevant applied anatomy of the submuscular-subfascial pocket, on the surgical technique and, finally, analyzing the reconstructive issues and cosmetic outcomes.
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