Related Experiment Video
Updated: Jun 24, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
[The internal breast flap: a new technique of reconstruction]
B Sarfati1, N Zwillinger, C C Lazar
1Département de chirurgie plastique, reconstructrice et esthétique, centre hospitalier René-Dubos, 6, avenue de l'Ile-de-France, 95301 Pontoise, France. benjamin.sarfati@gmail.com
Aim:
The internal breast pedicle flap is not a well-known technique yet. Anyway, it is effective for some of breast reconstructions and partial thoracic defects. This technique is applied to patients presenting breast hypertrophy. In this article, we present the experience of our department in this technique, considering its indications, surgery details, complications that may occur and subsisting interrogations about this surgical approach.
Material And Methods:
Two patients were treated with internal breast pedicle flap, one for controlateral breast reconstruction and one for coverage of partial thoracic defect.
Results:
Patients were followed; flap survival and aesthetic results were analyzed during consultations. Results were good and similar to other well-spread reconstruction techniques.
Conclusion:
The internal breast pedicle flap is a relevant, reproducible and easy technique. Overall results are satisfying and allow the possibility of applying other techniques in case of failure. You have to keep in mind the risk of making a transfer of a potentially carcinogenic tissue for a patient having already presented a breast cancer.
