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Updated: Apr 26, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
The evolution of mastectomies in the oncoplastic breast surgery era
Gustavo Zucca-Matthes1, Andrea Manconi1, Rene Aloísio da Costa Viera1
11 Department of Gynaecology, Obstetrics and Mastology, School of Medicine of Botucatu, UNESP, Distrito de Rubião Júnior, Botucatu-SP, Brazil ; 2 Breast Unit, Barretos Cancer Hospital, R Antenor Villela Duarte, 1331, Barretos-SP, 14784-400, Brazil ; 3 Division of Plastic and Reconstructive Surgery-EIO, Via Ripamonti, 450, Milan, Italy ; 4 UNAERP, Department of GO and Mastology, Ribeirão Preto-SP, Brazil.
Abstract:
Over time, surgical techniques have advanced to the point where oncological safety and aesthetic outcomes are the pillars of contemporary breast surgery. Variations of mastectomy came up and started allowing the oncological safety and the possibility of an immediate breast reconstruction. Nowadays the association between plastic surgical techniques and mastectomy with immediate breast reconstruction is one of the best alternatives to treat breast cancer and also improved overall aesthetic outcomes and favors the achievement of contralateral breast symmetry. "Oncoplastic mastectomy" is a feasible term and can be routinely used.
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