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Updated: Jun 24, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Transumbilical breast implant replacement.

Richard V Dowden¹

¹Division of Plastic and Reconstructive Surgery, Department of Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Aesthetic Surgery Journal

|April 2, 2009

Summary

This summary is machine-generated.

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Transumbilical breast implant replacement is a safe procedure for surgeons experienced in primary augmentation. This technique allows for safe revision of breast implants through the navel without additional specialized training.

Area of Science:

Plastic Surgery
Minimally Invasive Surgery

Background:

The transumbilical approach for breast augmentation is documented.
Transumbilical breast implant replacement has not been fully detailed.

Purpose of the Study:

To describe the instruments and surgical procedures for transumbilical breast implant replacement.

Main Methods:

Modified transumbilical approach using endoscopic visualization.
Capsular incision with cutting cautery.
Endoscopic implant removal and pocket assessment.
Endoscopic capsulotomy if needed before new implant insertion.

Main Results:

Successfully performed transumbilical breast implant replacement on 28 breasts.

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Last Updated: Jun 24, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Included procedures for size decrease and modest size increase.

No complications were reported.

Conclusions:

Surgeons trained in primary transumbilical augmentation can perform implant replacement safely.
No additional training is required for experienced surgeons.
The transumbilical approach is a viable option for breast implant revision.