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Updated: Jan 23, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Implant-based breast reconstruction with Artia™ tissue matrix
Bilal Fakim1, Lyndsey Highton1, Ashu Gandhi1
1The Nightingale Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Artia™ (a porcine acellular dermal matrix) shows promising results in breast reconstruction, with low complication rates. This study supports its use as a viable option for patients undergoing implant-based breast reconstruction.
Area of Science:
- Plastic Surgery
- Biomaterials
- Breast Reconstruction
Background:
- Artia™ (porcine acellular dermal matrix) was introduced in 2015.
- Limited clinical data exists for Artia™ in breast reconstruction.
- This study addresses the need for clinical outcome data.
Purpose of the Study:
- To assess outcome data for Artia™-assisted breast reconstruction.
- To compare Artia™ outcomes with other non-human acellular dermal matrices (ADMs).
Main Methods:
- Prospective study of patients undergoing Artia™-assisted breast reconstruction (July 2016 - February 2018).
- Data collected included patient demographics, reconstruction type, implant details, oncological data, complications, and adjuvant treatment delays.
- Compared outcomes with literature data on other ADMs.
Main Results:
- 83 implant-based breast reconstructions in 51 patients using Artia™.
- Reconstructions included risk-reducing mastectomy (62%), therapeutic mastectomy (28%), and revisions (10%).
- Overall complication rate was 10.8% (seromas 7.2%, hematoma 1.2%, implant loss 2.4%) with a mean 276-day follow-up. No wound dehiscence or erythema/red breast syndrome.
Conclusions:
- Artia™-assisted implant-based breast reconstruction demonstrates low and acceptable early complication rates.
- Results are comparable to established ADMs.
- Artia™ shows potential as a safe and effective option for breast reconstruction.
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