Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Dec 12;6(12):e2005.
doi: 10.1097/GOX.0000000000002005. eCollection 2018 Dec.

The Suture Tab Technique: Securing Implant Position in Prepectoral Breast Reconstruction

David E Janhofer  1 , James M Economides  1 , David H Song  1
Affiliations

The Suture Tab Technique: Securing Implant Position in Prepectoral Breast Reconstruction

David E Janhofer et al. Plast Reconstr Surg Glob Open. .

Abstract

Human acellular dermal matrix (ADM) can augment prepectoral prosthetic-based direct-to-implant breast reconstruction by providing an additional soft-tissue layer between breast implant and skin, as well as to reinforce the inframammary fold and breast pocket. Utilizing ADM in this way has helped reduce rates of implant rippling, capsular contracture, and implant extrusion. Difficulty in securing ADM-wrapped implants has caused many surgeons to improvise techniques for secure implantation. Here, we describe a simple technique for creating suture tabs within the ADM for efficient fixation of the ADM-implant construct to the chest wall.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Posterior view of silicone breast implant wrapped in ADM, with suture tab extended superiorly.
Fig. 2.
Fig. 2.
Anterior view of silicone breast implant wrapped in ADM, with suture tab extended superiorly.
Fig. 3.
Fig. 3.
Breast implant secured in left breast, with ADM visible before skin closure.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Sigalove S, Maxwell GP, Sigalove NM, et al. Prepectoral implant-based breast reconstruction: rationale, indications, and preliminary results. Plast Reconstr Surg. 2017;139:287. - PubMed
    1. Albornoz CR, Bach PB, Mehrara BJ, et al. A paradigm shift in U.S. Breast reconstruction: increasing implant rates. Plast Reconstr Surg. 2013;131:15. - PubMed
    1. Pittman TA, Abbate OA, Economides JM. The P1 method: prepectoral breast reconstruction to minimize the palpable implant edge and upper pole rippling. Ann Plast Surg. 2018;80:487. - PubMed
    1. Cayci C, Santner F, Jacobson SR. Impact and outcome of human acellular dermal matrix size for immediate and two-stage breast reconstruction. Plast Reconstr Surg. 2013;132:11. - PubMed
    1. Harless C, Jacobson SR. Current strategies with 2-staged prosthetic breast reconstruction. Gland Surg. 2015;4:204. - PMC - PubMed