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. 2016 Jun;137(6):1702-1705.
doi: 10.1097/PRS.0000000000002227.

Skin-Reduction Breast Reconstructions with Prepectoral Implant

Glenda Giorgia Caputo  1   2 , Alberto Marchetti  1   2 , Edoardo Dalla Pozza  1   2 , Enrico Vigato  1   2 , Lavinia Domenici  1   2 , Emanuele Cigna  1   2 , Maurizio Governa  1   2
Affiliations

Skin-Reduction Breast Reconstructions with Prepectoral Implant

Glenda Giorgia Caputo et al. Plast Reconstr Surg. 2016 Jun.

Abstract

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.

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References

    1. Eskenazi LB. New options for immediate reconstruction: Achieving optimal results with adjustable implants in a single stage. Plast Reconstr Surg. 2007;119:2837.
    1. Nair A, Jaleel S, Abbott N, Buxton P, Matey P. Skin-reducing mastectomy with immediate implant reconstruction as an indispensable tool in the provision of oncoplastic breast services. Ann Surg Oncol. 2010;17:24802485.
    1. Salgarello M, Barone-Adesi L, Terribile D, Masetti R. Update on one-stage immediate breast reconstruction with definitive prosthesis after sparing mastectomies. Breast 2011;20:714.
    1. Nava MB, Ottolenghi J, Pennati A, et al. Skin/nipple sparing mastectomies and implant-based breast reconstruction in patients with large and ptotic breast: Oncological and reconstructive results. Breast 2012;21:267271.
    1. Carlson GW, Styblo TM, Lyles RH, et al. The use of skin sparing mastectomy in the treatment of breast cancer: The Emory experience. Surg Oncol. 2003;12:265269.