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Updated: Dec 15, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
One for two, ipsilateral reduction and contralateral reconstruction mammoplasty: A case report
Abdulwahid M Salih1, Zuhair D Hammood2, Fahmi H Kakamad3
1Faculty of Medical Sciences, School of Medicine, Department General Surgery, University of Sulaimani, Sulaimani, Kurdistan, Iraq; Smart Health Tower, François Mitterrand Street, Sulaimani, Kurdistan, Iraq.
This study presents a new surgical technique for breast reconstruction, using tissue from one breast to rebuild the other in a single operation. This method offers a viable option for patients needing contralateral reduction and ipsilateral reconstruction mammoplasty.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncology
Background:
- Breast reconstruction aims to improve quality of life and psychosocial well-being.
- New surgical techniques continually emerge, each with unique benefits and risks.
- Reconstruction is not always a routine part of breast cancer treatment.
Observation:
- A novel procedure for concomitant contralateral reduction and ipsilateral reconstruction mammoplasty is introduced.
- A 34-year-old female with a history of mastectomy underwent reconstruction using a pectoralis myocutaneous flap.
- The flap, derived from the contralateral breast, was successfully transferred and showed viability post-operation.
Findings:
- Single-session reduction mammoplasty in one breast can be used for contralateral breast reconstruction.
- The pectoralis myocutaneous flap, utilizing the resected breast tissue, proved effective.
- The procedure resulted in a viable and healthy flap for reconstruction.
Implications:
- This technique offers a potential solution for breast reconstruction, utilizing autologous tissue.
- It highlights the possibility of achieving contralateral breast reconstruction in a single session.
- Further research may explore the broader applicability and long-term outcomes of this reconstructive approach.

