Related Experiment Video
Updated: Jul 7, 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 areola complex conservation in immediate breast reconstruction: prospective study of 66 cases]
M C Missana1, M A Germain, M Spielman
1Unité de chirurgie reconstructrice mammaire, Institut Gustave-Roussy - Villejuif. missana@igr.fr
Objective Of The Study:
Our objective is to define a sub-group of patients in whom skin-sparing mastectomy with immediate reconstruction and preservation of the nipple-areola complex is technically and oncologically feasible without increasing the risk of complications and local recurrence.
Patients And Methods:
Between September 1999 and December 2005, 66 patients presenting an in situ and/or invasive breast carcinoma justifying a mastectomy underwent immediate breast reconstruction preserving the skin and nipple-areolar complex.
Results:
After a median follow-up of 37 months, definitive conservation of the nipple-areolar complex with good esthetic results was achieved in 71% of the cases.
Conclusion:
This preliminary study provides encouraging results in a selected patient population but requires a longer term follow-up in order to draw definitive conclusions on the oncological safety preserving the nipple-areolar complex.
