Own Outcomes of Skin-Sparing Mastectomy with Immediate Implant-Based Reconstruction and Nipple-Areolar Complex Transfer on a Dermal Pedicle
Vol. 72 No. 3 (2026), ORIGINAL ARTICLES. CLINICAL RESEARCH
Vol. 72 No. 3 (2026)

Own Outcomes of Skin-Sparing Mastectomy with Immediate Implant-Based Reconstruction and Nipple-Areolar Complex Transfer on a Dermal Pedicle

ORIGINAL ARTICLES. CLINICAL RESEARCH
https://doi.org/10.37469/0507-3758-2026-72-3-OF-2642
Published 03.07.2026
Danila Aleksandrovich Denchik
National Medical Research Center of Oncology named after N. N. Blokhin, Ministry of Health of the Russian Federation
https://orcid.org/0000-0003-2572-2547
Elena Anatolevna Kim
I. M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Moscow, Russian Federation
https://orcid.org/0000-0003-4893-8770
Denis Viktorovich Khailenko
National Medical Research Center of Oncology named after N. N. Blokhin, Ministry of Health of the Russian Federation
https://orcid.org/0009-0005-5399-0380
Kristina Vartanovna Bagdasaryan
Russian University of Medicine, Ministry of Health of the Russian Federation, Moscow, Russian Federation
https://orcid.org/0009-0005-4475-3367
Ekaterina Igorevna Churakova
National Medical Research Center of Oncology named after N. N. Blokhin, Ministry of Health of the Russian Federation, Moscow, Russian Federation
https://orcid.org/0009-0009-1455-6185
Alexander Valerevich Petrovsky
National Medical Research Center of Oncology named after N. N. Blokhin, Ministry of Health of the Russian Federation, Moscow, Russian Federation
https://orcid.org/0000-0002-7514-280X
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Keywords

skin-sparing mastectomy
breast cancer
nipple-areolar complex
immediate reconstruction
implant

How to Cite

Denchik, D. A., Kim, E. A., Khailenko, D. V., Bagdasaryan, K. V., Churakova, E. I., & Petrovsky, A. V. (2026). Own Outcomes of Skin-Sparing Mastectomy with Immediate Implant-Based Reconstruction and Nipple-Areolar Complex Transfer on a Dermal Pedicle. Voprosy Onkologii, 72(3), OF–2642. https://doi.org/10.37469/0507-3758-2026-72-3-OF-2642
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Abstract

Introduction. Skin-sparing mastectomy with preservation of the nipple-areolar complex (NAC) yields favorable aesthetic outcomes. However, in patients with large, ptotic breasts, skin-sparing mastectomy is associated with an elevated risk of complications, including NAC and skin flap necrosis.

Aim. To analyze the complication rates associated with skin-sparing mastectomy followed by immediate implant-based reconstruction and NAC transfer on a dermal pedicle.

Materials and Methods. A retrospective analysis of complications was performed in breast cancer (BC) patients who underwent skin-sparing mastectomy with immediate implant reconstruction and NAC transfer on a dermal pedicle.

Results. 70 reconstructions were performed in 49 patients. Univariate analysis identified a body mass index (BMI) ≥ 35 kg/m² and the use of a superior dermal pedicle as significant risk factors for total NAC necrosis (p = 0.05 and p = 0.001, respectively).

Conclusion. Utilization of a superomedial dermal pedicle reduces the incidence of NAC necrosis to 11 %, compared to 48 % with a superior dermal pedicle. Due to the high risk of total NAC necrosis, this procedure is not recommended for patients with a BMI ≥ 35 kg/m².

https://doi.org/10.37469/0507-3758-2026-72-3-OF-2642
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