Skin-Sparing Mastectomy: A Natural Reconstruction Option
A skin-sparing mastectomy (SSM) is a surgical procedure that removes the breast tissue while preserving as much skin as possible, typically when immediate breast reconstruction is planned. This technique is often used in prophylactic mastectomies or for early-stage breast cancer, with no increased risk of recurrence. The cost of SSM with reconstruction varies widely, but most insurers cover the bulk of costs due to cancer.
SSM is an option for many women who desire immediate reconstruction after mastectomy. It offers a more natural cosmetic outcome due to the preservation of skin. After surgery, patients may need to wear a special bra and have surgical drains in their chest. The full results of the surgery may take up to eight weeks to become apparent.
Recovery from SSM involves managing pain, swelling, and surgical drains. Most patients can return to normal activities within six to eight weeks. Emotional support is crucial throughout the process. Reconstruction options include abdominal-based flap reconstruction, latissimus muscle flap reconstruction, using saline implants, or using artificial skin products.
SSM is a viable option for many women seeking immediate reconstruction after mastectomy or a prophylactic mastectomy. It provides a more natural cosmetic result and does not increase the risk of breast cancer recurrence. The cost and coverage vary, but most insurers are mandated to cover reconstructive surgery by the Women's Health and Cancer Rights Act.
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