Purpose: The skin sparing mastectomy is accepted as an oncologically safe alternative to more radical procedures. Autologous breast reconstruction with perforator flaps has gained popularity due to its decreased donor site morbidity and improved aesthetic result. We offer a procedure for breast reconstruction with low morbidity and no scars on the breast.

Methods and Materials: Eleven breasts were reconstructed on seven patients who underwent nipple-sparring mastectomies and immediate reconstruction. Patients with ptotic breasts were not candidates. The mastectomies were performed using an axillary and/or an inframammary incision; the nipple was inverted to remove the ductal tissue.

Results: This series includes patients form May 2005 to the present. Five patients had deep inferior epigastric perforator flaps (DIEP) and three breasts underwent superficial inferior epigastric artery (SIEA) flaps. There were no complications and their hospital course was unremarkable.

Conclusion: Nipple-sparing mastectomy without incisions on the breast offers women another option for prophylactic mastectomy with immediate reconstruction. The demand for this type of surgery is growing due to a superior aesthetic result. We recommend combining the benefits of nipple-sparring mastectomy with minimal donor site morbidity of perforator flaps results in a procedure which is an excellent option for breast reconstruction.