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Updated: Aug 10, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Nipple reconstruction: technical aspects and evolution in 14 patients
Jaques Lebeau1, Thucydides Rodrigues Lopes, Antonella Gallodoro
1Department of Plastic and Maxillofacial Surgery, University of Grenoble, Grenoble, France.
Background:
During breast reconstruction after mastectomy, the long-term deterioration of the projection of neonipples led the authors to modify Thomas's technique in its design and use.
Methods:
The results were evaluated after at least 10 months, in 14 patients, by comparative measurement of diameters and projection of the neonipple and contralateral nipple.
Results:
In two cases, the authors had a 3-mm loss of height; in six cases, the authors had a variation of 1 mm compared with the referent nipple; and the heights appeared identical in the six other cases. The height variation was thus lower or equal to 1 mm compared with the contralateral nipple in 80 percent of cases. There was no or little diameter variation of approximately 1 mm in 12 cases (85.7 percent).
Conclusion:
This technique allows rebuilding of a nipple that remains identical to the contralateral nipple over the long run.