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. 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.

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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

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