The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Kit O.I.

National Medical Oncology Research Center

Przhedetsky Yu.V.

National Medical Research Center of Oncology

Larina N.I.

National Medical Cancer Research Center

Przhedetskaya V.Yu.

National Medical Oncology Research Center

Pozdnyakova V.V.

National Medical Cancer Research Center

Shatova Yu.S.

National Medical Cancer Research Center

Oncoplastic breast reduction without formation of a pedicle of the nipple-areolar complex

Authors:

Kit O.I., Przhedetsky Yu.V., Larina N.I., Przhedetskaya V.Yu., Pozdnyakova V.V., Shatova Yu.S.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2022;(4): 18‑27

DOI: 10.17116/plast.hirurgia202204118

Read: 3930 times

Download PDF (RU)
Download PDF
Contact the author
Table of contents

ONCOPLASTIC BREAST REDUCTION WITHOUT FORMATION OF A PEDICLE OF THE NIPPLE-AREOLAR COMPLEX
ONCOPLASTIC BREAST REDUCTION WITHOUT FORMATION OF A PEDICLE OF THE NIPPLE-AREOLAR COMPLEX

To cite this article:

Kit OI, Przhedetsky YuV, Larina NI, Przhedetskaya VYu, Pozdnyakova VV, Shatova YuS. Oncoplastic breast reduction without formation of a pedicle of the nipple-areolar complex. Plastic Surgery and Aesthetic Medicine. 2022;(4):18‑27. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202204118

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
The effect of acetylamide synthetic peptide HLDF-6 on cell differentiation in breast cancer. Russian Journal of Archive of Pathology. 2025;(2):5-10
Treatment outcomes of stage IIA–IIB breast cancer patients of hormone-positive HER2-negative subtype after neoadjuvant poly­chemotherapy depe­nding on Ki-67 levels. P.A. Herzen Journal of Onco­logy. 2025;(2):13-18
Repeated breast reco­nstruction after previous complications. Piro­gov Russian Journal of Surgery. 2025;(6):51-57
Guidelines for asse­ssing the quality of mammographic images. Russian Journal of Preventive Medi­cine. 2025;(6):21-32
Hema­tological indi­cators of the systemic inflammatory response in the prognosis of lumi­nal HER2-negative breast cancer patients unde­rgoing surgery followed by adju­vant therapy. P.A. Herzen Journal of Onco­logy. 2025;(3):31-38
Hemo­stasis diso­rders during neoadjuvant therapy in patients with breast cancer. P.A. Herzen Journal of Onco­logy. 2025;(3):39-44
Inci­dence of regional lymph node meta­stases in patients with early prognostically unfa­vorable mole­cular biological breast cancer. Piro­gov Russian Journal of Surgery. 2025;(7):11-15
Auto­logous fat transplantation into post-lymphadenectomy cavity for prevention of lymphorrhea after total mastectomy. Piro­gov Russian Journal of Surgery. 2025;(7):24-35
Biopsy of the sentinel lymph node and the possibility of performing breast-conserving surgery for the non-inflammatory inva­sive breast cancers with edema. P.A. Herzen Journal of Onco­logy. 2025;(4):96-101
Radiation damage to the lungs and heart in a patient after radiation therapy for breast cancer. Journal of Respiratory Medi­cine. 2025;(3):79-84
Abstract:

OBJECTIVE

To develop a method of oncoplastic reduction mammoplasty without formation of a pedicle of the nipple-areolar complex.

MATERIAL AND METHODS

To evaluate the effectiveness of this method, we analyzed surgical treatment of breast cancer in 37 patients. All patients were divided into two groups: 22 women in the main group and 15 ones in the control group. All patients underwent bilateral reduction mammoplasty (oncoplastic procedure with mandatory regional lymph node dissection on the affected side and symmetrizing procedure without lymph node dissection on the intact side). Technique of reduction mammoplasty was identical on both sides. In the main group, patients underwent oncoplastic reduction mammoplasty without formation of a pedicle of the nipple-areolar complex. The nipple was formed from the skin of the breast using 1 out of 3 proposed methods. In the control group, women underwent oncoplastic reduction mammoplasty with variants of a pedicle of the nipple-areolar complex.

RESULTS

Analysis of data showed the advantage of oncoplastic reduction mammoplasty without formation of a pedicle of the nipple-areolar complex and formation of the nipple from the skin of the breast. This method is simpler, reduces surgery time, increases resection quality due to removal of nipple-areolar complex and prevents complications associated with pedicle of the nipple-areolar complex. This procedure also ensures favorable aesthetic and functional results.

CONCLUSION

Original method ensures total mastectomy, favorable symmetric, functional and stable aesthetic result. Moreover, we obtain natural nipple-areolar complex without periareolar scar.

Keywords:

breast cancer
reduction mammoplasty
oncoplastic reduction mammoplasty
nipple-areolar complex
artificial nipple
recurrent breast ptosis

Authors:

Kit O.I.

National Medical Oncology Research Center

Przhedetsky Yu.V.

National Medical Research Center of Oncology

Larina N.I.

National Medical Cancer Research Center

Przhedetskaya V.Yu.

National Medical Oncology Research Center

Pozdnyakova V.V.

National Medical Cancer Research Center

Shatova Yu.S.

National Medical Cancer Research Center

Received:

06.06.2022

Accepted:

20.07.2022

Close metadata

References:

  1. Mátrai Z, Gulyás G, Kovács T, Kásler M, eds. Principles and Practice of Oncoplastic Breast Surgery. Translated from English by Nikolaev KS, Komyakhov AV, Pesotsky RS, Dzhalilova ShA. Ed. by Bessonov AA, Emelyanov AS, Dzhelyalova MA, Apollonova VS. SPb: MedLit; 2021:31. (In Russ.).
  2. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424.  https://doi.org/10.3322/caac.21492
  3. Sostoyanie onkologicheskoj pomoshchi naseleniyu Rossii v 2019 godu. Kaprin AD, Starinsky VV, Shakhzadova AO, eds. M. 2020. (In Russ.).
  4. Vykhristyuk YuV, Roitberg GE, Dorosh JV, Karaseva NV, Akobova RA. Preventive measures against development of breast cancer. South Russian Journal of Cancer. 2021;2(1):50-56. (In Russ.). https://doi.org/10.37748/2686-9039-2021-2-1-6
  5. Semiglazov VF, Krivorotko PV, Semiglazov VV, Dashyan GA, Paltuev RM. Rekomendatsii dlya vrachej po vedeniyu patsientov s rakom molochnoj zhelezy. M.: Remedium; 2017:50-51. (In Russ.).
  6. Kit OI, Shatova YuS, Todorov SS, Gudtskova TN. The correlation between different biomolecular breast cancer subtypes frequency and the menstrual state. Rossijskij onkologicheskij zhurnal. 2014;19(5):24-27. (In Russ.).
  7. Galkin VN, Ermoshchenkova MV, Startseva OI, et al. Onkoplasticheskaya khirurgiya v reabilitatsii bol’nykh rakom molochnoj zhelezy. Moskovskaya meditsina. 2021;5(45):56-62. (In Russ.).
  8. Talghini S. Is macromastia a risk factor for breast cancer? A study on 198 patients. Pak J Biol Sci. 2013;16(21):1348-1352. https://doi.org/10.3923/pjbs.2013.1348.1352
  9. Moody AM, Mayles WP, Bliss JM, A’Hern RP, Owen JR, Regan J, Broad B, Yarnold JR. The influence of breast size on late radiation effects and association with radiotherapy dose inhomogeneity. Radiother Oncol. 1994; 33(2):106-112.  https://doi.org/10.1016/0167-8140(94)90063-9
  10. Neal AJ, Torr M, Helyer S, Yarnold JR. Correlation of breast dose heterogeneity with breast size using 3D CT planning and dose-volume histograms. Radiother Oncol. 1995;34(3):210-218.  https://doi.org/10.1016/0167-8140(95)01521-h
  11. Goldsmith C, Haviland J, Tsang Y, Sydenham M, Yarnold J, FAST Trialists’ Group. Large breast size as a risk factor for late adverse effects of breast radiotherapy: is residual dose inhomogeneity, despite 3D treatment planning and delivery, the main explanation? Radiother Oncol. 2011;100(2):236-240.  https://doi.org/10.1016/j.radonc.2010.12.012
  12. Przhedetskiy YuV, Pozdnyakova VV, Przhedetskaya VYu. Sposob onkoplasticheskoj reduktsii molochnoj zhelezy bez formirovaniya pitayushchej nozhki soskovo-areolyarnogo kompleksa. Patent №2757751, opubl. 21.10.21, byull. №30. (In Russ.).
  13. Ismagilov AKh, Kamaletdinov IF, Afanasieva ZA. The use of the original method of restoring the inframammary fold during two-stage breast reconstruction. Voprosy onkologii. 2017;63(4):598-605. (In Russ.).
  14. Brown RH, Izaddoost S, Bullocks JM. Preventing the “Bottoming Out” and “Star-gazing” Phenomena in Inferior Pedicle Breast Reduction with an Acellular Dermal Matrix Internal Brassiere. Aesthetic Plastic Surgery. 2010;34(6):760-767.  https://doi.org/10.1007/s00266-010-9538-2
  15. Kankaya Y, Oruç M, Sungur N, et al. Four flap suspension technique for prevention of bottoming out after breast reduction. Ann Surg Treat Res. 2016;90(1):10-15.  https://doi.org/10.4174/astr.2016.90.1.10
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.