Robot-assisted mastectomy combined with immediate reconstruction with prepectoral implant.

Robot-assisted sparing mastectomy combined with immediate reconstruction using a prepectoral breast implant is a novel technique that provides good aesthetic results and high patient satisfaction. It was described for the first time by Antonio Toesca in 2015. In Spain, it is currently carried out in very few places. The results of this technique have been reported in multiple studies with low conversion and complication rates. It is indicated in patients with genetic risk and in patients with early breast cancer presenting no evidence of skin, chest wall or nipple-areolar complex involvement. In order to advocate the robotic approach, we give a step-by-step explanation so that it can be reproduced safely. However, we are aware that the technique entails a long learning curve and requires the availability of robotic equipment as well as experience in open breast cancer surgery.