Related Experiment Video
Updated: Sep 2, 2025
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Targeted Nipple Areola Complex Reinnervation: Technical Considerations and Surgical Efficiency in Implant-based
Lisa Gfrerer1, Jessica Erdmann Sager2, Olivia Abbate Ford1,2
1Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Background:
Despite promising pilot study results, adoption of neurotization of immediate implant-based reconstructions has not occurred.
Methods:
For surgeons interested in adopting breast reinnervation techniques, we present ways to overcome initial barriers by decreasing operative time and maximizing chances of sensory recovery.
Results:
We discuss the combined experience at two academic teaching hospitals, where neurotization of both immediate tissue expander cases and direct-to-implant reconstructions are performed through varying mastectomy incisions.
Conclusion:
Initial barriers can be overcome by shortening operative time and providing an individualized reinnervation approach that aims to increase the chance of meaningful sensation.
