Figure 2.

A 42-year-old woman with left breast cancer in the upper outer quadrant. The operation method was ENSMSLS. (1) The incision was made along the line of the axillary skin, through which the sentinel lymph node biopsy (SLNB) was performed under direct vision. (2) A skin flap was created under direct vision. (3) Needles were placed through the breast skin and connected to the lifting system. (4) The skin-lift system created operation space. (5) Under endoscopic vision, a skin flap was created from the incision to access the whole breast. (6) The pocket for the mammary prosthesis was created beneath the pectoralis major. The arrow shows the pectoralis major. (7) The endoscopic view is demonstrated. The blue shows the location of the nipple. The arrow shows a portion of one of the needles of the lifting system that had been placed under the breast skin.