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Related Experiment Video

Updated: Jun 10, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Multicenter study on breast reconstruction outcome using Becker implants.

Nicolò Scuderi1, Carmine Alfano, Gian Vittorio Campus

  • 1Department of Plastic Surgery, University La Sapienza, Rome, Italy.

Aesthetic Plastic Surgery
|August 3, 2010
PubMed
Summary

This study evaluated the new anatomical Becker implant for breast reconstruction, finding it a reasonable option with a 2.4% rate of significant capsular contracture. The device simplifies reconstruction by combining tissue expansion and permanent implantation.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Biomaterials

Background:

  • Breast reconstruction after mastectomy is crucial for patient well-being.
  • Tissue expanders and implants offer a straightforward approach.
  • The Becker implant has evolved from early designs to a novel anatomical device.

Purpose of the Study:

  • To assess the safety and efficacy of the new anatomical Becker implant in breast reconstruction.
  • To evaluate outcomes in both immediate and delayed reconstruction settings.
  • To analyze complication rates and patient satisfaction with the device.

Main Methods:

  • A multicenter study reviewed 204 patients undergoing breast reconstruction with anatomical Becker implants.
  • Data collected included patient demographics, reconstruction type, implant size, operative technique, and complications.

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Last Updated: Jun 10, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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  • Follow-up included assessment of complications such as malposition, rupture, and capsular contracture.
  • Main Results:

    • 248 reconstructions were performed in 204 patients (immediate: 70%, delayed: 30%).
    • Overall complication rate was 34.2%, with implant malposition (13.7%) and wound healing issues being most common.
    • Significant capsular contracture (Baker grade III/IV) occurred in 2.4% of cases at one-year follow-up.

    Conclusions:

    • The anatomical Becker implant provides a reasonable breast reconstruction option, potentially avoiding a second surgery.
    • While complications like malposition can occur, the rate of severe capsular contracture is low.
    • Further research may explore long-term outcomes and patient-reported satisfaction compared to other reconstruction methods.