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Related Experiment Video

Updated: Apr 15, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Staged immediate breast reconstruction.

Michael R Zenn1

  • 1Durham, N.C. From Duke University Medical Center.

Plastic and Reconstructive Surgery
|March 27, 2015
PubMed
Summary

This study introduces a delay technique for nipple-sparing mastectomy, preserving tissue in high-risk patients for immediate reconstruction. This method avoids tissue expansion, offering aesthetic benefits and time savings with an acceptable complication rate.

Area of Science:

  • Oncology
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Nipple-sparing mastectomy (NSM) with immediate reconstruction is increasingly popular.
  • A higher complication rate, including nipple and skin necrosis, is associated with NSM.
  • High-risk patients often face limitations for immediate NSM due to complication risks.

Purpose of the Study:

  • To present a novel delay technique for nipple-sparing mastectomy.
  • To enable safe preservation of nipple-sparing mastectomy tissues in high-risk individuals.
  • To facilitate straight-to-implant reconstruction without tissue expansion.

Main Methods:

  • A delay technique for nipple preservation during mastectomy was employed.
  • The technique was applied to high-risk patients, including those with large cup size, prior surgery, or radiation.

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  • Straight-to-implant reconstruction was performed without the need for tissue expanders.

    • Main Results:

    • The delay technique allowed safe preservation of nipple-sparing mastectomy tissues.
    • High-risk patients were successfully treated with this method.
    • The study demonstrated aesthetic benefits, time savings, and an acceptable complication profile.

    Conclusions:

    • The delay technique is a viable option for nipple preservation in high-risk NSM patients.
    • This approach facilitates immediate, straight-to-implant reconstruction, avoiding tissue expansion.
    • The technique offers favorable aesthetic outcomes and manageable complications.