Answer
Answer
A 20-in. blade is used to make an elliptical skin incision that includes the nipple-areola complex (see the image below). The skin ellipse should be tailored so as to ensure the following:
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The resulting defect can be closed without tension
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Any old biopsy sites or surgical scars are included in the ellipse if possible
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The lateral end of the ellipse is medial to the midaxillary line
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Media Gallery
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Elliptical skin incision enclosing nipple-areola complex.
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Superior flap being raised.
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Raised superior flap, with breast being dissected off underlying pectoralis major.
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Pectoralis major and serratus anterior visible at completion of mastectomy.
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Postmastectomy scar.
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Mastectomy scar 10 days after operation.
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