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Updated: Apr 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
Letter in Reply to Comment on: "Pocket Conversion from Prepectoral to Retropectoral Implant Placement in Breast
Maria Lucia Mangialardi1, Giovanni Zoccali2, Roy De Vita2
1Plastic and Reconstructive Surgery department-I.R.C.C.S. "Regina Elena" National Cancer Institute, Via Elio Chianesi, 53, 00128, Rome, Italy. marialucia.mangialardi@hotmail.it.
Abstract:
Posterior capsule reuse during conversion from prepectoral-to-retropectoral breast reconstruction provides reliable inferior muscular stabilization and implant coverage. In selected patients with high-grade rippling or contour deformity, this technique represents a safe, reproducible, and cost-effective alternative to biologic matrices, preserving pocket stability and natural breast contour.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

