Objective. To develop the method for tissue isolation of an implant from a skin wound and a deep layer of subcutaneous tissue for prevention of its extrusion through the wound or downward displacement.

Material and methods. The study included 66 patients divided into 3 groups: the main group (n=26) and two control groups by 18 and 22 patients, respectively. All patients underwent skin-sparing mastectomy for breast cancer followed by simultaneous reconstruction with a silicone implant. In the main group, we used an original surgical approach through the inframammary sulcus, breast tissue resection and wound closure with preserving of submammary fascial anatomy. In the 1st control group, inframammary wound was sutured using Taylor technique, in the 2nd control group — Freeman and Wiemer procedures.

Results. We found the advantages of the proposed method of skin-sparing mastectomy with preservation of inframammary fascial anatomy.

Conclusion. The proposed method of inframammary surgical approach for skin-sparing mastectomy followed by simultaneous reconstruction with an implant is an effective for prevention of implant extrusion and its displacement downward.

Keywords. breast cancer, skin-sparing mastectomy, breast reconstruction, inframammary sulcus, fascia of Scarpa, breast fascial system