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Reconstruction Options After a Skin-Sparing Mastectomy In a skin-sparing mastectomy, ALL of the breast skin, except the nipple and the areola, is PRESERVED. This makes reconstruction easier and most importantly avoids making any scars on the breast, allowing for better results after breast reconstruction. The reconstruction options following a skin-sparing mastectomy are: TRAM flap or Latissimus flap with an implant.
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