The lateral S incision: an advantageous approach to subcutaneous mastectomy.

Over 30 patients have had bilateral subcutaneous mastectomies through the lateral S incision, with nipple preservation and subpectoral implantation of a gel-bag prosthesis. Although the incision is more noticeable than those located in the inframammary fold, the total cosmetic result has been comparable to other techniques. The technique has permitted the resection of a maximal amount of breast tissue, including the tail of Spence, with fewer complications when compared to other techniques.