Immediate Implant-based Prepectoral Breast Reconstruction Using a Vertical Incision

Area of Science:

• Plastic Surgery
• Oncology
• Biomaterials

Background:

• Subpectoral direct-to-implant breast reconstruction presents significant postoperative complications.
• These complications include asymmetry, flap necrosis, animation deformity, and patient discomfort.
• A novel prepectoral approach is explored to mitigate these issues.

Purpose of the Study:

• To evaluate the efficacy and safety of immediate single-stage prepectoral implant-based breast reconstruction.
• To assess the outcomes of using smooth, adjustable saline implants with mesh/acellular dermal matrix support.
• To compare this technique with traditional subpectoral methods.

Main Methods:

• Retrospective review of patients undergoing immediate single-stage prepectoral breast reconstruction.
• Utilized vertical mastectomy incisions, smooth round adjustable saline implants, and mesh/acellular dermal matrix.
• Follow-up duration averaged 4.6 years.

Main Results:

• Thirty-one patients (62 breasts) were included in the study.
• A low complication rate was observed, with only 9 patients experiencing issues.
• Implant loss occurred in only 2 cases, and animation deformity was eliminated.

Conclusions:

• Immediate single-stage prepectoral breast reconstruction with adjustable implants and mesh support is a viable alternative.
• This technique offers excellent aesthetic results with minimal complications compared to subpectoral approaches.
• The method effectively addresses common issues associated with traditional breast reconstruction.