Skin-Reduction Breast Reconstructions with Prepectoral Implant. Issue 6 (June 2016)

• Record Type: Journal Article
• Authors: Caputo, Glenda Giorgia; Marchetti, Alberto; Dalla Pozza, Edoardo; Vigato, Enrico; Domenici, Lavinia; Cigna, Emanuele; Governa, Maurizio
• Is Part Of: Plastic and reconstructive surgery. Volume 137:Issue 6(2016:Jun.)
• Publication Date: 2016-06
• Subjects: Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/PRS.0000000000002227
• Languages: English
• ISSNs: 0032-1052

Abstract

Abstract : 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. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. Abstract : Supplemental Digital Content is available in the text.