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Updated: Jan 22, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Optimizing Outcomes in 2-Stage Prepectoral Breast Reconstruction Utilizing Round Form-Stable Implants.
1From the Division of Plastic and Reconstructive Surgery, Mount Sinai Medical Center; and Orlando Health Aesthetic and Reconstructive Surgery Institute.
Prepectoral breast reconstruction offers muscle-sparing benefits. Using round, form-stable gel implants and proper techniques ensures optimal aesthetic outcomes, reducing rippling and visibility in breast augmentation.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Prepectoral breast reconstruction is a minimally invasive alternative to subpectoral techniques.
- It offers benefits like reduced pain and animation deformity but requires specific strategies for optimal aesthetics due to the absence of pectoralis major muscle coverage.
Purpose of the Study:
- To present techniques for optimizing aesthetic outcomes in prepectoral breast reconstruction.
- To highlight the role of specific implant selection in achieving natural-looking results.
Main Methods:
- Utilizing round, form-stable gel implants.
- Employing specific surgical techniques to manage implant coverage and shape.
- Focusing on two-stage prepectoral breast reconstruction.
Main Results:
- Round form-stable gel implants reduce implant rippling and edge visibility.
- Achieves a soft, natural breast shape without muscle coverage.
- Proper technique is crucial for reproducible success.
Conclusions:
- Proper implant selection, specifically round form-stable gel implants, is key to successful prepectoral breast reconstruction.
- Meticulous surgical technique is essential for optimizing aesthetic results in this muscle-sparing approach.
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