Intraoperative measurement: The solution to mastectomy flap length asymmetry

There is little technical difficulty in planning incisions and insuring acceptable cosmetic results when lesions and biopsy cavities are subareolar or periareolar. As the distance from the nipple-areolar complex becomes greater, it becomes increasingly more difficult to produce a cosmetic result without compromising the therapeutic aspects of the procedure unless close attention is paid to the technical aspects of flap design. The purpose of this report is to describe a rapid and simple technique that we have developed and employed to assist in the intraoperative planning of mastectomy incisions and closures.