A Combination of Direct-to-Implant and Vertical Mastopexy Immediate Breast Reconstruction: A Case Report

ABSTRACT

Patients with large or ptotic breasts who undergo nipple-sparing mastectomy and direct-to-implant (DTI) reconstruction tend to exhibit poor esthetic outcomes. We present a combined vertical mastopexy-DTI technique that can be used to raise the nipple position and to improve esthetic outcomes. Using the combined vertical mastopexy-DTI technique, it is possible to save time and to increase patient satisfaction.