Robotic nipple-sparing mastectomy with PAP flap reconstruction, published
Reconstruction with a patient’s own tissue, through the same small incision in the armpit used for the mastectomy.
Dr. Haddock, Dr. Sumeet Teotia and Dr. Deborah Farr published a series on breast reconstruction following single-port robotic nipple‑sparing mastectomy, using profunda artery perforator flaps.
Reconstruction after a robotic nipple-sparing mastectomy has typically been done with implants. That is not always what a patient wants. The paper describes using the patient’s own tissue instead, brought in through the same incision in the armpit that the mastectomy already uses, rather than a separate one across the breast.
The series reviewed every patient treated this way at UT Southwestern between July 2022 and May 2023: six patients, three reconstructed immediately and three delayed-immediate, of whom three later had a revision with fat grafting.
Plastic and Reconstructive Surgery, volume 156, page 337e, 2025.
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