Omega and Reverse Omega Incisions: Techniques for Immediate or Delayed Reconstruction of Mildly Ptotic and Larger Breasts Following Nipple-Sparing Mastectomy
Abstract
Background: Breast-Conserving Therapy (BCT) has become a widely accepted treatment option for selected breast cancer cases. Nipple-Sparing Mastectomy (NSM) is considered an effective and oncologically safe approach for certain patients, as it preserves the native skin and nipple, allowing for one- or two-stage reconstruction with optimal cosmetic outcomes. This study aimed to provide our department's experience utilising the Omega and Reverse Omega incision techniques for immediate or delayed breast reconstruction for patients who had undergone NSM.
Method: Our study included sixteen cancer patients with mildly ptotic and large breasts who underwent immediate or delayed breast reconstruction using prosthetic implants following NSM, where the Omega incision was utilised, either bilaterally or unilaterally, from January 2022 to December 2024, at the Plastic and Reconstructive Surgery Department of Nicosia General Hospital. Patient demographics, co-morbidities, pre- and postoperative breast anthropometric measurements, and surgical complications were recorded and analysed.
Results: Sixteen patients underwent a total of twenty-one nipple-sparing mastectomy procedures for either breast cancer (90.47%) or risk reduction (9.52%), followed by breast reconstruction. The average age at the time of reconstruction was 64.4 years. The mean preoperative body mass index was 26.73 kg/m2, and 25% were smokers. The mean follow-up was 11.62 months. From the patients who had undergone NSM, 12…
How strong is the evidence?
Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.
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