The term SSM was first used by Toth and
Lappert [20]. They described preoperative planning
of mastectomy incisions to maximize skin
preservation and to facilitate breast reconstruction.
This procedure removed the breast, nippleareola
complex, previous biopsy incisions and
skin overlying superficial tumors. It was adopted
for patients with early breast cancer treated by
total mastectomy and immediate reconstruction.
Several studies have confirmed that SSM is a
safe oncologic procedure which can be used for
the treatment of early breast cancer. Early local
recurrence and postoperative complication rates
are similar to those associated with non-SSM
[21,22,23]