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Updated: Jan 9, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Enhancing full-thickness skin graft take in nipple reconstruction using PICO™ negative pressure therapy: A technical
Marco Palmesano1,2, Gabriele Storti1, Irene Nunziata1
1Department of Plastic Surgery, University of Rome "Tor Vergata", Viale Oxford 81, Rome 00133, Italy.
None:
Nipple-areola complex (NAC) necrosis remains a challenging complication following nipple-sparing mastectomy, with significant emotional and aesthetic consequences for patients. Full-thickness skin grafting (FTSG) offers a viable reconstructive option in secondary procedures. We report our experience using PICO™ single-use negative pressure wound therapy (NPWT), applied directly over the breast, to enhance graft take in three consecutive cases of nipple reconstruction using groin-derived FTSG. The technique was effective, cost-conscious, and well-tolerated by patients during the recovery period.

