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Updated: Jan 10, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Microsurgical Breast Reconstruction
Syena Moltaji1, Jesse C Selber2, Kongkrit Chaiyasate2
1University Health Network, Toronto, Ontario, Canada; Division of Plastic Reconstructive & Aesthetic Surgery, Department of Surgery, Temerty Faculty of Medicine, University of Toronto.
None:
This article reviews the approach to microsurgical breast reconstruction. Innovations including the role of indocyanine green angiography, resensation, adapting techniques for safe outcomes in an obese patient population, robotic deep inferior epigastric perforator, and prophylactic lymphovenous bypass are highlighted. Recipient vessel considerations and troubleshooting are reviewed, in addition to first-line and alternative flap options and their characteristics. Emphasis is placed on practical elements of flap selection and surgical technique.
