1. Oncologic Safety of Nipple Skin-Sparing or Total Skin-Sparing Mastectomies With Immediate Reconstruction 
Cristiano Boneti, MD, James Yuen, MD, Carlos Santiago, MD, Zuleika Diaz, MD, Yara Robertson, MD, Soheila Korourian, MD, FACS, Kent C. Westbrook, MD, FACS, Ronda S. Henry-Tillman, MD, V. Suzanne Klimberg, MD, FACS 
Journal of the American College of Surgeons 
Volume 212, Issue 4, Pages (April 2011)
DOI: /j.jamcollsurg
Copyright © 2011 American College of Surgeons Terms and Conditions

2. Figure 1
Incision planning. A, Skin-sparing mastectomy (SSM) (elliptical). B, SSM (lollipop). C, Total skin-sparing mastectomy (TSSM) (vertical radial). D, TSSM (inframammary). E, TSSM (axillary).
Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg )
Copyright © 2011 American College of Surgeons Terms and Conditions

3. Figure 2
(A) Pratt dilators of different calibers (13/15 to 41/43). (B) Progressive dilation to facilitate thin flaps development. (C) Line of dissection along plane made by dilators.
Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg )
Copyright © 2011 American College of Surgeons Terms and Conditions

4. Figure 3
Forty-five–year-old patient after bilateral total skin-sparing mastectomy (infra-areolar vertical incision).
Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg )
Copyright © 2011 American College of Surgeons Terms and Conditions

5. Figure 4
End result after bilateral total skin-sparing mastectomy (infra-areolar vertical incision) and postoperative radiation therapy.
Journal of the American College of Surgeons  , DOI: ( /j.jamcollsurg )
Copyright © 2011 American College of Surgeons Terms and Conditions