Hemi-Y incision for nipple-sparing mastectomy with immediate implant reconstruction: 10-year outcomes from a single-center series

The hemi-Y incision provides adequate access for NSM and implant reconstruction with low complication rates and favorable scar concealment. Ten-year follow-up confirms durable reconstructive and oncological outcomes, supporting its role as a practical and reproducible option for patients undergoing NSM with implant reconstruction, predominantly in the risk-reducing and ductal carcinoma in situ (DCIS) setting. It should be considered in patients with small- to moderate-sized, non-ptotic breasts as a viable option for optimizing aesthetic outcomes following conservative mastectomy and implant-based reconstruction.