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Updated: Feb 7, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Utilizing large volume fat grafting in breast reconstruction after nipple sparing mastectomies
Ran Y Stark1, Michael N Mirzabeigi2, R Jason Vonderhaar2
1Bucky Plastic Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Abstract:
Nipple sparing mastectomy (NSM) has gained popularity especially in prophylactic mastectomies allowing improved cosmetics. Traditionally reconstruction has utilized implants or autologous tissue. With the development of large volume fat grafting additional reconstructive techniques can be utilized in NSM reconstruction. This can either complement a technique or be a standalone form of reconstruction. This paper is intended to serve as a broad overview of fat grafting and its potential role in reconstructing the breast following nipple sparing mastectomies.
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