Underestimated risk of involved margins in Skin (SMM)- and Nipple Sparing Mastectomies (NSM) – Data and Multimodal Approach for Improvement

Objective Safety and breast aesthetics of direct-to-implant techniques are well recognized. Pre-pectoral techniques add a new dimension supported by the next generation of titanized mesh-pockets. SSM and NSM with immediate implant reconstruction with synthetic mesh support is established in clinical routine and recommended since 2011. As well as in breast conserving surgery involved margins in SSM and NSM demanding revision surgery present a remarkable burden for patients and health economics.