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Updated: May 19, 2026
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Delayed two-stage breast reconstruction with implants: The authors' recent experience
Jan Rykała1, Paweł Szychta, Julia Kruk-Jeromin
1Plastic, Reconstructive and Aesthetic Surgery Department, Medical University of Lodz, Poland.
Summary
Delayed two-stage breast reconstruction using implants offers good aesthetic outcomes for mastectomy patients. This method is minimally invasive and results in minimal scarring, improving patient quality of life.
Area of Science:
- Oncology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Delayed breast cancer detection in Poland often necessitates mastectomy.
- Reconstruction options include autologous tissue or implants (tissue expander/prosthesis).
Purpose of the Study:
- To evaluate aesthetic outcomes of delayed two-stage breast reconstruction using implants post-mastectomy.
Main Methods:
- 54 patients (34-65 years) underwent two-stage reconstruction (expander then prosthesis) at least one year after mastectomy.
- Three patients received prior x-ray therapy; two developed fistulas requiring implant removal.
Main Results:
- Excellent aesthetic results were reported by physicians and patients in 42 patients.
- Good results were achieved in 12 patients.
Conclusions:
- Implant-based delayed breast reconstruction yields favorable aesthetic results with minimal patient burden and scarring.
- Two-stage reconstruction allows for placement correction; prior radiation therapy may disqualify patients.
