Special field

Breast reconstruction

We mainly perform primary reconstruction (simultaneous reconstruction) in accordance with breast surgeon.


  • Incision of SSM, and NSM

a. Primary reconstruction

Since 1998, we started Skin-sparing mastectomy (SSM), or Nipple-sparing mastectomy (NSM) to reconstruct more beautiful breast. If you hope primary reconstruction, please consult breast surgery unit.

b. Secondary reconstruction

We can reconstruct the mastectomy defect or the partial defect after breast preserving surgery. After postoperative adjuvant therapy (chemotherapy radiotherapy), pleaase consult us.


a. Breast implant

  • cohesive implant

The advantage is not increasing the scar of the body. In many cases we select two-staged reconstruction. We insert an expander in the primary operation and replace it to cohesive gel silicone implant 4 to 6 months after 1st stage.

b. Autologous tissue

The advantage is making more natural breast and no need for maintenance. We show following two choices to the patients.

b-1 Free deep inferior epigastric artery perforator (DIEP) flap

  • DIEP flap

  • MSCT

DIEP flap is one of the standard option of aoutologous tissue reconstruction. We reduce function loss without injuring a muscle as much as possible. Multislice CT is required before surgery for the vascular evaluation.

b-2 Latissimus dorsi flap / Thoracodorsal artery perforator (TAP) flap

LD flap

It is suitable for small breast. or partial defect after breast conserving surgery.

Nipple areola reconstruction

C-V flap

We reconstruct nipple areola using a local flap (modified C-V flap) and delayed medical tattoo.

Inverted nipple

We recommend conservative treatment. If it is ineffective, surgical intervention is considered.


  • Mori H, et al. Objective assessment of reconstructed breast hardness using a durometer. Breast cancer (epub)
  • Mihara R,et al. Nipple reconstruction with dorsal skin provides better projection than reconstruction with abdominal or breast skin with cartilage grafting. Aesthetic Plastic Surgery. 2017; 41: 31-35
  • 森 弘樹,ほか. 挿入乳房インプラントと再建乳房の幅と突出の比較研究. 日本形成外科学会会誌 36: 245~250, 2016
  • 森 弘樹,ほか. 同時性両側乳癌に対する両側拡大広背筋皮弁での一次再建. Oncoplastic Breast Surgery 1: 37~41, 2016
  • Mori H, et al. Nipple malposition after nipplesparing mastectomy and expander-implant reconstruction. Breast Cancer 23: 740~744, 2016
  • Mori H,et al. Nipple reconstruction with banked costal cartilage after vertical-type skin-sparing mastectomy and deep inferior epigastric artery perforator flap. Breast Cancer22: 95-97, 2015
  • 石井義剛, ほか. 乳房再建における遊離深下腹壁動脈穿通枝皮弁と横軸方向有茎腹直筋皮弁の比較―ドレーン量および抜去日に関する検討―. 日本形成外科学会会誌 35:376-380, 2015
  • 森 弘樹,ほか. マルチスライス CT の術前評価とインドシアニングリーン蛍光造影法 の術中評価を併用した深下腹壁動脈穿通枝皮弁による乳房再建. 日本マイクロ会誌27:11-17,2014
  • 森 弘樹,ほか. 乳房自家組織再建へのMDCTの応用. PEPARS 73: 40-46, 2013
  • Mori H, Okazaki M. Is the sensitivity of skin-sparing mastectomy or nipple-sparing mastectomy superior to conventional mastectomy with innervated flap? Microsurgery 31:428-433, 2011.
  • Mori H, Hata Y. Modified C-V flap in nipple reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery 2008; 61: 1109-1110
  • 岡崎睦、辻直子.乳房インプラント法による乳癌切除後の乳房再建 医学のあゆみ 2008; 224: 638-640.
  • Mori H et al. Anatomical study of innervated transverse rectus abdominis musculocutaneous and deep inferior epigastric perforator flaps. Surgical and Radiologic Anatomy 2007; 29: 149-154
  • 岡崎睦、ほか.特集/乳癌の治療戦略-エビデンスとガイドラインの使い方.乳房再建術. 臨床外科 2007; 62: 903-909.