The "Butterfly" Wrap: A Simplified Technique for Consistent Prosthesis Coverage in Prepectoral Breast Reconstruction

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Breast Reconstruction

Background:

• Prepectoral breast reconstruction is a common procedure.
• Effective prosthesis coverage is crucial for optimal outcomes.
• Current methods for prosthesis coverage can be complex and time-consuming.

Purpose of the Study:

• To describe a simple, systematic, and reproducible method for prosthesis coverage in prepectoral breast reconstruction.
• To introduce the Butterfly Wrap technique using acellular dermal matrix (ADM).

Main Methods:

• The Butterfly Wrap technique utilizes a single sheet of ADM to create a tear-shaped pocket for prosthesis coverage.
• This method is designed to ensure optimal implant incorporation without folding or bunching.
• The technique is performed on the back table, minimizing operative time and cost.

Main Results:

• The Butterfly Wrap technique effectively covers all shapes and sizes of expanders and implants.
• This method simplifies the process for surgeons, allowing them to focus on other critical aspects of reconstruction.
• The technique minimizes ADM waste and can be performed efficiently.

Conclusions:

• The Butterfly Wrap is a simple, systematic, reproducible, and effective method for prosthesis coverage in prepectoral breast reconstruction.
• This technique enhances surgical efficiency and improves patient outcomes.