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Updated: Jun 21, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Conservative mastectomies
Maurizio B Nava1, Giuseppe Catanuto, Angela Pennati
1Unit of Plastic and Reconstructive Surgery, Istituto Nazionale Tumori, Via Venezian 1, 20133, Milan, Italy.
Abstract:
Nowadays, oncological breast surgery has to be performed to maximize cosmetic results, and even mastectomies, when unavoidable, should conform to acceptable aesthetics. We investigated surgical approaches to skin-sparing mastectomies. Scar positioning and volume replacement were evaluated. We also discuss nipple-sparing mastectomy (NSM), probably the most outstanding item in the current debate on breast shape preservation. We give suggestions for safe admission criteria and effective treatment.
