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Updated: May 28, 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

Immediate breast reconstruction after mastectomy.

Paolo Veronesi¹, Bettina Ballardini, Francesca De Lorenzi

¹Department of Breast Surgery, European Institute of Oncology, Milan, Italy. paolo.veronesi@ieo.it

Breast (Edinburgh, Scotland)

|October 22, 2011

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Immediate breast reconstruction is safe for invasive cancers and elderly patients. However, postmastectomy radiation therapy increases complications, especially with prostheses, necessitating careful pre-operative planning for optimal outcomes.

Area of Science:

Oncology
Plastic Surgery
Breast Cancer Management

Background:

Immediate breast reconstruction is standard for in situ tumors.
Reconstruction is often delayed for invasive cancers or in elderly patients.
Current practices vary regarding immediate reconstruction for invasive breast cancer.

Purpose of the Study:

To investigate the safety of immediate postmastectomy reconstruction.
To evaluate outcomes in patients with invasive breast cancers.
To assess safety in the elderly population undergoing immediate reconstruction.

Main Methods:

Review of institutional case series.
Analysis of recent medical literature.
Evaluation of safety and complication rates.

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Last Updated: May 28, 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

Main Results:

Immediate reconstruction is safe for selected elderly patients.
Immediate reconstruction is a reliable option for invasive cancers.
Postmastectomy radiation therapy significantly increases complications, particularly with prostheses.

Conclusions:

Immediate breast reconstruction is a key component of comprehensive breast cancer care.
Pre-operative risk assessment for radiation is crucial.
Informed decision-making improves outcomes and reduces complications.