This study will compare the cosmetic scar result from the use of scalpel, electrocautery, and pulsed electron avalanche knife (PEAK) PlasmaBlade (PPB) for the initial skin incision for total mastectomy procedures without immediate breast reconstruction. It is hypothesized that there will be no significant difference in mastectomy scar cosmesis. The purpose and objectives of this study are: 1. To evaluate and compare the cosmetic scar result from the use of scalpel, standard electrocautery, or PEAK PlasmaBlade for initial incision for total mastectomy procedures without immediate breast reconstruction. 2. To inform future equipment choices for breast surgery including potential elimination of scalpels and their attendant risks.
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Scar cosmesis (SCAR scale)
Timeframe: 2-4 weeks post-operatively
Scar cosmesis (Vancouver Scar Scale)
Timeframe: 2-4 weeks post-operatively
Scar cosmesis (SCAR-Q)
Timeframe: 2-4 weeks post-operatively
Scar cosmesis (SCAR scale)
Timeframe: 6 months post-operatively
Scar cosmesis (Vancouver Scar Scale)
Timeframe: 6 months post-operatively
Scar cosmesis (SCAR-Q)
Timeframe: 6 months post-operatively
Scar cosmesis (SCAR scale)
Timeframe: 12 months post-operatively
Scar cosmesis (Vancouver Scar Scale)
Timeframe: 12 months post-operatively
Scar cosmesis (SCAR-Q)
Timeframe: 12 months post-operatively