Skin-Reduction Breast Reconstructions with Prepectoral Implant

Skin-reduction mastectomy with prepectoral implant reconstruction is a novel technique for immediate breast reconstruction, with subcutaneous implant placement in patients eligible for skin-reducing mastectomy. Implants were placed above the pectoralis muscles in a compound pocket made by a dermal f...

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Bibliographic Details
Published inPlastic and reconstructive surgery (1963) Vol. 137; no. 6; p. 1702
Main Authors Caputo, Glenda Giorgia, Marchetti, Alberto, Dalla Pozza, Edoardo, Vigato, Enrico, Domenici, Lavinia, Cigna, Emanuele, Governa, Maurizio
Format Journal Article
LanguageEnglish
Published United States 01.06.2016
Subjects
Acellular Dermis
Adult
Aged
Breast Implants
Breast Neoplasms - surgery
Female
Follow-Up Studies
Humans
Mammaplasty - methods
Mastectomy - methods
Middle Aged
Nipples - surgery
Pectoralis Muscles - transplantation
Retrospective Studies
Surgical Flaps
Time Factors
Treatment Outcome
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Summary:Skin-reduction mastectomy with prepectoral implant reconstruction is a novel technique for immediate breast reconstruction, with subcutaneous implant placement in patients eligible for skin-reducing mastectomy. Implants were placed above the pectoralis muscles in a compound pocket made by a dermal flap and acellular dermal matrix. The procedure was performed on 33 breasts in 27 selected patients. In three cases, there was skin ischemia; in one case, it healed spontaneously; and in two patients, a surgical necrosectomy and primary closure were needed. No implant loss occurred. This new technique proved to be a useful alternative, with good cosmetic results, in selected patients requiring mastectomy. These preliminary results need to be confirmed by long-term and comparative studies. Therapeutic, IV.
ISSN:1529-4242
DOI:10.1097/PRS.0000000000002227