In this special episode of TIBCS Channel, we are honored to welcome Dr. Antonio Toesca, a pioneer in robotic nipple-sparing mastectomy (RNSM), for an in-depth conversation about the evolution, clinical evidence, and future of robotic breast surgery.

Dr. Toesca shares what first inspired him to introduce robotic technology into breast surgery and reflects on the technical challenges encountered during the development of this innovative approach. The discussion explores the clinical value of RNSM, patient selection in more challenging cases-including patients with higher BMI or larger breasts-and the evolving capabilities of robotic platforms.

The conversation also addresses FDA safety communications, oncologic safety, and the qualifications and competencies needed to become a truly qualified robotic breast surgeon. Looking ahead, Dr. Toesca discusses the long-term oncologic outcomes that will be essential in future trials and whether RNSM could eventually become a routine surgical option.

Where is robotic breast surgery heading next? Stay tuned to TIBCS Channel for insights from one of the pioneers shaping the future of RNSM.