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Robotic Breast Reconstruction Without Implants: A First by the French Breast Institute
World first at the French Breast Institute: robot-assisted breast reconstruction without implants, with reduced scarring and rapid recovery.
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A pioneering robotic surgery performed by the French Breast Institute
On November 27, 2017, a team from the French Breast Institute (Institut Français du Sein, IFS) at the Clinique Alma in Paris successfully performed the first robotic breast reconstruction without implants using a DIEP flap.
This groundbreaking procedure was led by Dr. Marc-David Benjoar, plastic surgeon in charge of breast reconstruction at IFS, assisted by Dr. Francis Dubosq, a urological surgeon specializing in robotic surgery, and Dr. Yaël Berdah, plastic surgeon. The seven-hour operation was a complete success.
What is a DIEP flap?
The DIEP flap (Deep Inferior Epigastric Perforator flap) involves harvesting skin and fat from the abdomen to reconstruct the breast without the use of a silicone implant.
To ensure vascularization of the transplanted tissue, the surgeon must also remove a deep artery and vein from the pelvic region, which are then microscopically reconnected to vessels in the chest.
The benefits of robotic assistance
Traditionally, this highly delicate phase requires a 15 cm incision in the abdominal wall, which can lead to significant postoperative pain and abdominal wall curvature.
Thanks to the Da Vinci robotic surgical system, this part of the operation was performed with unprecedented precision, reducing the abdominal incision to only four centimeters.
Exceptional recovery and future outlook
The entire surgical team was impressed by the patient’s rapid recovery:
- Minimal postoperative pain
- Mobilized the next day
- Discharged just 5 days after surgery
This first case marks a major technological and medical advancement in breast reconstruction, combining the latest robotic innovation with microsurgical expertise.
Toward broader accessibility
We hope to be able to offer this cutting-edge, less invasive solution to a larger number of patients in the future—particularly those seeking breast reconstruction without implants, with reduced scarring and recovery time.
For more information on robotic breast reconstruction, or to explore your options, please do not hesitate to contact us.
Read also
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Find out about the conditions for reimbursement of labiaplasty by Social Security and mutual insurance companies. Expert opinions from Dr. Benjoar and Dr. Berdah.
Breast prosthesis replacement: Coverage and price
Everything you need to know about breast implant replacement: lifespan, medical or cosmetic reasons, cost, and coverage by Social Security.