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Updated: Aug 30, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
An application of the LeJour vertical mammaplasty pattern for skin-sparing mastectomy: a preliminary report
Charles M Malata1, Elaine L B Hodgson, Joanna Chikwe
1Department of Reconstructive Surgery, Cambridge Breast Unit, Addenbrooke's University Hospital, Cambridge, UK. contact@charlesmalata.com
Abstract:
An application of the LeJour vertical mammaplasty skin pattern for skin-sparing mastectomy is presented. The approach provides adequate access for the mastectomy, axillary dissection, and immediate breast reconstruction. The technique is ideal for patients with large or ptotic breasts undergoing a simultaneous contralateral breast reduction or mastopexy. It is particularly suitable for autogenous tissue reconstruction. Its use in mastectomies for cancer and prophylactic subcutaneous mastectomies is described.