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
Review
. 2019 Sep;36(3):201-207.
doi: 10.12701/yujm.2019.00283. Epub 2019 Aug 26.

Prepectoral breast reconstruction

Sung-Eun Kim  1
Affiliations
Review

Prepectoral breast reconstruction

Sung-Eun Kim. Yeungnam Univ J Med. 2019 Sep.

Abstract

Implant-based breast reconstruction is the most commonly used reconstruction technique after mastectomy. This is because skin-sparing mastectomy has become possible with advancements in oncology. In addition, the development of breast implants and the advent of acellular dermal matrices have reduced postoperative complications and resulted in superior cosmetic results. The most frequently performed surgical breast reconstruction procedure for the past 20 years was the insertion of an implant under the pectoralis major muscle by means of the dual plane approach. However, some patients suffered from pain and animation deformity caused by muscle manipulation. Recently, a prepectoral approach has been used to solve the above problems in select patients, and the results are similar to subpectoral results. However, this technique is not always chosen due to the number of considerations for successful surgery. In this article, we will discuss the emergence of prepectoral breast reconstruction, indications and contraindications, surgical procedures, and outcomes.

Keywords: Acellular dermal matrix; Breast implants; Mastectomy; Prepectoral breast reconstruction.

PubMed Disclaimer

Conflict of interest statement

No potential conflicts of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
The mastectomy skin flap has good vascularity (A), and a moderate amount of fat tissue is preserved (B).
Fig. 2.
Fig. 2.
Two sheets of fenestrated acellular dermal matrices are sewn together and draped over the implant (A). On the back, the implant is partially covered (B).
Fig. 3.
Fig. 3.
The device is fully covered by 2 sheets of acellular dermal matrices (A). On the back, the implant is fully covered (B).
See this image and copyright information in PMC

References

    1. American Society of Plastic Surgeons . Arlington Heights: American Society of Plastic Surgeons; 2019. 2018 Plastic surgery statistics report [Internet] [cited 2019 Jun 27]. https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-su....
    1. Schlenker JD, Bueno RA, Ricketson G, Lynch JB. Loss of silicone implants after subcutaneous mastectomy and reconstruction. Plast Reconstr Surg. 1978;62:853–61. - PubMed
    1. Gruber RP, Kahn RA, Lash H, Maser MR, Apfelberg DB, Laub DR. Breast reconstruction following mastectomy: a comparison of submuscular and subcutaneous techniques. Plast Reconstr Surg. 1981;67:312–7. - PubMed
    1. Puckett CL, Croll GH, Reichel CA, Concannon MJ. A critical look at capsule contracture in subglandular versus subpectoral mammary augmentation. Aesthetic Plast Surg. 1987;11:23–8. - PubMed
    1. Biggs TM, Yarish RS. Augmentation mammaplasty: a comparative analysis. Plast Reconstr Surg. 1990;85:368–72. - PubMed

LinkOut - more resources