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Updated: May 1, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
'Imbricated dermal flap': a novel technique for autologous augmentation in immediate breast reconstruction after
N Haydon1, J Southwell-Keely1, E Moisidis1
1Department of Plastic & Reconstructive Surgery, St Vincent's Hospital, Sydney, Australia.
Abstract:
This case demonstrates use of a de-epithelialised inferior pole skin flap for a more aesthetic result in immediate autologous breast reconstruction. For women with medium to large ptotic breasts, utilising the excess tissue following skin-sparing mastectomy as an auto-prosthesis, adds volume to the breast and improves inferior pole aesthetics. This 'imbricated dermal flap' offers an excellent addendum to aesthetic breast reconstruction.

