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Updated: Aug 6, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
[Clinic applications of primary breast reconstruction with a subpectoral silicone tissue expander]
Ru Zhao1, Qun Qiao, Hai-lin Zhang
1Peking Unon Medical College Hospital, Chinese Academy of Medical Sciences, Beijing.
Objective:
To investigate the application of breast reconstruction that permits the surgeon to expand and recruit sufficient tissue for modified radical mastectomy, skin-sparing mastectomy and asymmetry deformity.
Methods:
Placement of round tissue expander in subpectoral position below. Overexpansion of tissue expander to match over 30% approximately 50% opposite breast. After 3 months, removal of tissue expander and replacement with permanent implant.
Results:
Postoperative follow-up for 3 months to 2 years demonstrated satisfactory results in all the cases.
Conclusions:
The breast reconstruction with a subpectoral silicone tissue expander is an ideal treatment to modified radical mastectomy, skin-sparing mastectomy and asymmetry deformity. The women can obtain a restored breast to approximate a full opposite breast and avoids a major distant surgical intervention and additional scars. Tissue expansion should be cautiously used in cases of patients with irradiated chest skin.