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Updated: Sep 4, 2025

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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
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[Tuberous breast reshaping mammoplasty without augmentation or reduction]
Stéphane de Mortillet1, Alexandre Penaud1
1Pôle santé Léonard-de-Vinci, Institut du Sein-Léonard-de-Vinci, 17, avenue du Professeur-Minkowski, 37170 Tours, France.
Summary
This study presents a simple, reproducible surgical technique for tuberous breast shape correction without altering volume. The method avoids skin detachment, ensuring safety and stable, satisfactory results for patients seeking only contour improvement.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Surgery
Background:
- Tuberous breasts present a unique shape anomaly.
- Some patients desire shape correction without volume change, especially young individuals or those with insufficient fat reserves for augmentation.
Purpose of the Study:
- To describe a simple, reproducible surgical technique for tuberous breast correction.
- To evaluate the safety and efficacy of this technique in achieving satisfactory and stable aesthetic results.
Main Methods:
- A retrospective review of 12 patients operated between 2000 and 2021.
- Description of a surgical technique characterized by absence of skin detachment, aiming for speed and ease of reproduction.
Main Results:
- The technique demonstrated satisfactory and stable long-term results.
- No vascular complications were reported due to the absence of extensive skin detachment.
Conclusions:
- A simple, reproducible surgical technique can effectively correct tuberous breast shape anomalies without altering volume.
- This approach offers a safe and stable solution for patients seeking only contour refinement, particularly suitable for younger patients or those avoiding augmentation.

