Just published in Plastic & Reconstructive Surgery (PRS) Global Open, a fantastic technique article “Not Just a Linear Closure: Aesthetic Flat Closure after Mastectomy” by Drs. Kerry Morrison and Nolan Karp.
The article’s major takeaways for surgeons include:
- listen to the patient, and to fully understand the patient’s concerns, wishes, and particular aesthetic desired
- sit the patient up to account for gravity’s effects on the tissues
- completely remove the inframammary fold
- excise any dog ears (side or center of chest)
“With the increasing demand for flat closures after mastectomy, plastic surgeons need to utilize modified surgical techniques for aesthetic flat closure reconstructions, as these are not simply linear closures.”