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Updated: Mar 6, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Functional and Aesthetic Thorax Reconstruction after Desmoid Tumor Resection
Carlos Olvera-Caballero1, Eric Acosta-Ponce de Leon1, Sergio Sanchez-Sosa1
1Plastic and Reconstructive Surgery Service, Surgical Oncology Service, and Pathology Service, Hospital Angeles Puebla, Puebla 72190, México.
Abstract:
This study describes a case report of a 31-year-old patient who presented with a left thoracic tumor on costal cartilages 5 and 6 that was diagnosed as a desmoid tumor 3 years after receiving retropectoral breast implants for cosmetic reasons. The integral reconstruction of the thoracic wall, functional and aesthetic, was planned for a single surgical period. The defect secondary to the tumor resection, which left the pericardium and lung exposed, was closed using the pectoral muscle as a "pre-expanded" flap by the breast implant, and the breast aesthetic was treated bilaterally with new implants in the retromammary position. After 12 months, the patient remained free from tumor recurrence and had a satisfactory aesthetic result.
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