A novel approach to sensory re-innervation to the nipple areolar complex after mastectomy with implant-based reconstruction: Anatomic and technical considerations.

TL;DR: New developments in sensate breast reconstruction to help address the problem of numbness after mastectomy have emerged and show promise and the emergence of BIA-ALCL (Breast Implant Associated Anaplastic Large Cell Lymphoma) is explored.

TL;DR: A novel technique to reinnervate the FNG in patients undergoing double incision gender mastectomy with free nipple grafting is described, which is technically feasible and based on patient anatomy.

TL;DR: Female BRCA1/2 and PALB2 germline pathogenic variant carriers have an increased lifetime risk of breast cancer and may wish to consider risk-reducing mastectomy for surgical prevention and approaches that include sensation preservation and robotic nipple-sparing mastectomy are an area of evolving research that may be more widely adopted.

TL;DR: Initial barriers can be overcome by shortening operative time and providing an individualized reinnervation approach that aims to increase the chance of meaningful sensation.

TL;DR: Overall, patients were very satisfied with appearance of the nipple-areola complex and most would choose nipple-sparing mastectomy again, and larger body mass index, expander volumes, and volume of breast tissue removed may predict dissatisfaction postoperatively.

TL;DR: The authors identified the predictable location of the lateral intercostal nerve providing sensation to the breast and hope that by enabling surgeons to locate this nerve, more well-conducted studies will be performed investigating techniques and outcomes for breast reinnervation.