%0 Journal Article %T Midclavicular to inframammary fold measurement, a method of evaluation for nipple sparing mastectomy %A Fan, Kenneth L. %A Graziano, Francis D. %A Abbate, Olivia %A Pittman, Troy A. %A Willey, Shawna C. %J Annals of Breast Surgery %D 2018 %B 2018 %9 %! Midclavicular to inframammary fold measurement, a method of evaluation for nipple sparing mastectomy %K %X Background: Preoperative assessment is vital to properly select patients for nipple sparing mastectomies (NSM). The objective of this paper is to describe a novel method, measuring from mid-clavicle to inframammary fold (IMF), to determine tissue envelope characteristics when evaluating a patient for a single stage, IMF incision NSM. Methods: The authors conducted a retrospective review of all IMF incision NSM between October 2010 to July 2016 that had IMF to mid-clavicle measurements. Patient characteristics, mastectomy weight, complications, and the association between measurement were analyzed. Results: Of a total 36 patients, 67 breasts were included for analysis. Increasing IMF to midclavicular measurements were found to be significantly related to increasing breast weight (P Conclusions: The authors demonstrated that midclavicular to IMF measurement approaching 34 cm had significantly increased complication rates, thus making this a potential tool for assessing tissue envelope characteristics in the evaluation for NSM. We propose 34 cm being a relative cut-off for single staged NSM. %U https://abs.amegroups.org/article/view/4081 %V 2 %P %@ 2616-2776