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Related Experiment Video

Updated: May 9, 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

Breast reconstruction with the Bostwick autoderm technique.

Daniel A Ladizinsky1, Patricia H Sandholm, Stiles T Jewett

  • 1Clackamas and Portland, Ore. From the Department of Plastic Surgery, Kaiser Permanente Northwest; and the Division of Plastic and Reconstructive Surgery, Oregon Health & Science University.

Plastic and Reconstructive Surgery
|July 31, 2013
PubMed
Summary

The Bostwick autoderm technique offers single-stage breast reconstruction with improved outcomes, though complications like skin necrosis can occur, particularly in smokers or those with high BMI. Careful patient selection is key.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • The Bostwick autoderm technique utilizes excess ptotic breast skin to create a vascularized dermal flap during mastectomy.
  • This flap forms a pocket for implant placement, covered by Wise pattern skin flaps.

Purpose of the Study:

  • To evaluate the indications, outcomes, risk factors, and complications of the Bostwick autoderm technique for breast reconstruction.
  • To analyze the association between risk factors and complications.

Main Methods:

  • Retrospective analysis of 170 breast reconstructions in 110 patients.
  • Data collection on indications, outcomes, risk factors, and complications.
  • Statistical analysis (Chi-square) to assess associations between risk factors and complications.

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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

Related Experiment Videos

Last Updated: May 9, 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

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

Main Results:

  • Overall complications occurred in 24% of breasts, associated with BMI > 35 and smoking history.
  • Mastectomy flap skin necrosis (most common complication) correlated with permanent implants and smoking.
  • Implant loss due to skin necrosis was low (1.2%).

Conclusions:

  • The Bostwick autoderm technique provides good implant coverage and contour, enabling single-stage reconstruction.
  • While mastectomy skin flap necrosis is possible, implant exposure is rare.
  • Tissue expanders may be preferred in certain cases for a two-stage reconstruction.