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Fig.3 | Cancer Communications

Fig.3

From: In pursuit of a flawless aphrodite: paving the way to scarless oncoplastic breast surgery

Fig.3

Endoscopy assisted nipple-sparing mastectomy to minimize the scar. ENSM with immediate breast reconstruction using pedicled latissimus dorsi muscle flap (LDM flap). a1 Pre-operative photograph of the patient. b1 200–250 cc of lipolysis fluid was injected subcutaneously, and liposuction was performed 5 min after the injection. b2 After liposuction, single port endoscopy was done and the subcutaneous space was established. Cooper’s ligament and breast ducts under the NAC were identified. b3 The retro-mammary space was undermined. c1 Lateral border of the LDM flap was elevated. c2 The subcutaneous layer was undermined, and special attention was paid to preserve as much fatty tissues as possible. c3 The LDM flap was elevated. c4 The thoracodorsal nerve was dissected after the LDM flap was isolated. d1, d2 Post-operative photographs showing no scars on the breast and the back. The surgery was performed by Dr. Erwei Song and Dr. Kai Chen. The photographs were provided by Dr. Kai Chen, with consent obtained from the patient

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