Related Experiment Video
Updated: May 16, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Bilateral prophylactic skin-reducing nipple-sparing mastectomy with immediate breast reconstruction using only a
Thomas Vrekoussis1, Marta Perabo, Isabelle Himsl
1First Department of Obstetrics and Gynecology, Ludwig Maximilians University, Innenstadt Campus, Maistrasse 11, 80337 Munich, Germany.
Purpose:
To present a new surgical technique regarding breast reconstruction after skin-reducing nipple-sparing mastectomy.
Method:
The current trend for immediate breast reconstruction after skin-reducing mastectomy mainly supports the insertion of subpectoral implants or the use of autologous breast reconstruction techniques. Herein for the first time, we present a case of bilateral prophylactic skin-reducing nipple-sparing mastectomy with immediate breast reconstruction, using only a dermal-cutaneous pedicle.
Results:
The postoperative course was uneventful. Forty days postoperatively the aesthetic result was excellent.
Conclusions:
We believe that such technique in selected cases can present several advantages as low cost, reduced possibilities for complications associated to implant insertion or autologous reconstruction techniques and an easier mammography follow-up.