Related Experiment Video
Updated: Feb 20, 2026
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
4.4K
The inframammary skin-sparing mastectomy technique
G-T Lam1, J-G Feron2, P Mallon3
1Department of Surgery, Institut Curie, 26, rue d'Ulm, 75005 Paris, France; Division of Gynecology, Geneva University Hospitals, Geneva, Switzerland.
Annales De Chirurgie Plastique Et Esthetique
|October 21, 2017
Summary
This study presents a novel technique for breast reconstruction after skin-sparing mastectomy in large, ptotic breasts. The method offers a single horizontal scar and improved prosthesis coverage, reducing complications associated with traditional approaches.
Area of Science:
- Plastic Surgery
- Breast Surgery
- Oncologic Surgery
Background:
- Skin-sparing mastectomy with immediate implant-based breast reconstruction presents challenges for women with large, ptotic breasts.
- Traditional Wise pattern incisions result in inverted T scars and potential postoperative complications.
- Achieving adequate prosthesis coverage is a significant technical hurdle.
Purpose of the Study:
- To describe an alternative surgical technique for breast reconstruction.
- To avoid the inverted T scar associated with the Wise pattern incision.
- To enhance prosthesis coverage using a double dermo-muscular layer.
Main Methods:
- A modified surgical approach for skin-sparing mastectomy and immediate implant-based breast reconstruction.
- Utilization of a technique designed to produce a single horizontal scar.
- Implementation of a double dermo-muscular flap for prosthesis coverage.
Main Results:
- The described technique successfully avoids the inverted T scar.
- A single horizontal scar is achieved postoperatively.
- Adequate and secure coverage of the breast prosthesis is obtained.
Conclusions:
- This technique offers a viable alternative for breast reconstruction in patients with large, ptotic breasts.
- The method potentially reduces scar burden and improves aesthetic outcomes.
- Enhanced prosthesis coverage may lead to fewer complications and better long-term results.
