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
Case Reports
. 2025 Dec 31.
doi: 10.1111/ans.70443. Online ahead of print.

How to Do a Serratus Anterior Fascia Flap for Immediate Pre-Pectoral Implant-Based Reconstruction After Nipple-Sparing Mastectomy

Samantha Jolly  1   2 , Grace Kwok  2 , Peter Barry  2   3
Affiliations
Case Reports

How to Do a Serratus Anterior Fascia Flap for Immediate Pre-Pectoral Implant-Based Reconstruction After Nipple-Sparing Mastectomy

Samantha Jolly et al. ANZ J Surg. .

Abstract

We present the technique and use of a serratus anterior fascia flap to provide autologous inferolateral coverage of a pre-pectoral breast implant beneath a laterally based inframammary incision for nipple-sparing mastectomy. This approach combines the cosmetic and functional advantages of pre-pectoral reconstruction with the benefits of providing an autologous, cost-effective barrier. This can be used with or without acellular dermal matrix or mesh over the implant. We describe this technique as an additional tool in the surgical repertoire for immediate implant-based pre-pectoral breast reconstruction.

Keywords: breast reconstruction; pre‐pectoral implant; serratus anterior fascia flap.

PubMed Disclaimer

References

    1. C. K. Chu, M. J. Davis, A. Abu‐Ghname, S. J. Winocour, A. Losken, and G. W. Carlson, “Implant Reconstruction in Nipple Sparing Mastectomy,” Seminars in Plastic Surgery 33, no. 4 (2019): 247–257.
    1. G. G. Caputo, S. Mura, F. Contessi Negrini, R. Albanese, and P. C. Parodi, “From Sub‐Pectoral to Pre‐Pectoral Implant Reconstruction: A Decisional Algorithm to Optimise Outcomes of Breast Replacement Surgery,” Healthcare (Basel) 11, no. 5 (2023): 671.
    1. U. Wazir and K. Mokbel, “The Evolving Role of Pre‐Pectoral ADM‐Assisted Implant‐Based Immediate Breast Reconstruction Following Skin‐Sparing Mastectomy,” American Journal of Surgery 216, no. 3 (2018): 639–640.
    1. G. Cuffolo, N. C. Holford, K. Contractor, and A. Tenovici, “TIGR Matrix for Implant‐Based Breast Reconstruction – A Long‐Term Resorbable Mesh,” Expert Review of Medical Devices 15, no. 9 (2018): 689–691.
    1. A. A. Salibian, J. D. Frey, M. Choi, and N. S. Karp, “Subcutaneous Implant‐Based Breast Reconstruction With Acellular Dermal Matrix/Mesh: A Systematic Review,” Plastic and Reconstructive Surgery. Global Open 4, no. 11 (2016): e1139.

Publication types

LinkOut - more resources