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Related Experiment Video

Updated: Jun 18, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

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

Published on: May 17, 2024

Delayed-immediate breast reconstruction: technical and timing considerations.

Steven J Kronowitz1

  • 1Houston, Texas From the Department of Plastic Surgery, The University of Texas M. D. Anderson Cancer Center.

Plastic and Reconstructive Surgery
|November 14, 2009
PubMed
Summary
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This study introduces a delayed-immediate breast reconstruction technique for patients needing postmastectomy radiotherapy. It ensures optimal outcomes and minimizes complications for breast cancer patients undergoing reconstruction.

Area of Science:

  • Oncology
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • A novel two-stage approach, delayed-immediate breast reconstruction, was developed for patients at high risk for postmastectomy radiotherapy.
  • This technique is gaining acceptance in clinical practice.
  • Key technical and timing considerations are crucial for successful outcomes and low expander loss rates.

Purpose of the Study:

  • To detail the technical and timing considerations of the delayed-immediate breast reconstruction approach.
  • To highlight how this method optimizes outcomes for patients requiring postmastectomy radiotherapy.
  • To present a method that ensures aesthetic results while managing radiation therapy needs.

Main Methods:

  • Stage 1 involves skin-sparing mastectomy and saline tissue expander insertion to maintain breast skin envelope shape.

Related Experiment Videos

Last Updated: Jun 18, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

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

Published on: May 17, 2024

  • For patients not needing radiation, Stage 2 (definitive reconstruction) occurs within 2 weeks.
  • For patients needing radiation, the expander is deflated before therapy, reinflated post-therapy, and replaced with an autologous flap 3 months later.

    • Main Results:

    • Delayed-immediate reconstruction offers aesthetic outcomes comparable to immediate reconstruction for patients not requiring radiation.
    • This approach successfully preserves the breast skin envelope.
    • It facilitates modern radiation delivery and allows for skin-preserving delayed reconstruction.

    Conclusions:

    • Delayed-immediate breast reconstruction provides excellent aesthetic results for patients not requiring radiation.
    • It offers a viable, skin-preserving reconstructive option for patients who need postmastectomy radiation therapy.
    • This method effectively mitigates complications associated with radiation delivery after immediate reconstruction.