Archives of Gynecology and Obstetrics

, Volume 287, Issue 4, pp 749–753 | Cite as

Bilateral prophylactic skin-reducing nipple-sparing mastectomy with immediate breast reconstruction using only a vascularized dermal–subcutaneous pedicle: technique and possible advantages

  • Thomas Vrekoussis
  • Marta Perabo
  • Isabelle Himsl
  • Maria Günthner-Biller
  • Darius Dian
Gynecologic Oncology



To present a new surgical technique regarding breast reconstruction after skin-reducing nipple-sparing mastectomy.


The current trend for immediate breast reconstruction after skin-reducing mastectomy mainly supports the insertion of subpectoral implants or the use of autologous breast reconstruction techniques. Herein for the first time, we present a case of bilateral prophylactic skin-reducing nipple-sparing mastectomy with immediate breast reconstruction, using only a dermal–cutaneous pedicle.


The postoperative course was uneventful. Forty days postoperatively the aesthetic result was excellent.


We believe that such technique in selected cases can present several advantages as low cost, reduced possibilities for complications associated to implant insertion or autologous reconstruction techniques and an easier mammography follow-up.


Breast reconstruction Mastectomy Breast implants 


Conflict of interest

The authors declare no conflict of interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Thomas Vrekoussis
    • 1
  • Marta Perabo
    • 1
  • Isabelle Himsl
    • 2
  • Maria Günthner-Biller
    • 1
  • Darius Dian
    • 1
  1. 1.First Department of Obstetrics and GynecologyLudwig Maximilians UniversityMunichGermany
  2. 2.Second Department of Obstetrics and GynecologyLudwig Maximilians UniversityMunichGermany

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