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Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix
Harold I Friedman1, Sarah Talebagha2, Jarom Gilstrap1
1The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.
Plastic and Reconstructive Surgery. Global Open
|November 28, 2019
Summary
Wise pattern breast reconstruction using dermal matrix and large implants is a safe direct-to-implant technique for selected patients with macromastia. This method shows a low failure rate, indicating its effectiveness in breast reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Breast Surgery
Background:
- The inverted T (Wise pattern) mastectomy is a common procedure for macromastia or breast ptosis.
- Breast reconstruction techniques have advanced, including direct-to-implant methods.
Purpose of the Study:
- To review Wise pattern breast reconstruction techniques.
- To present a direct-to-implant reconstruction technique using dermal matrix.
- To evaluate the safety and efficacy of this approach.
Main Methods:
- Literature review of Wise pattern breast reconstruction techniques and complications.
- Analysis of a patient series undergoing direct-to-implant reconstruction with dermal matrix and large implants.
Main Results:
- A low failure rate of 2 out of 18 reconstructed breasts.
- Identified causes of failure: flap necrosis (smoking) and preoperative radiation.
Conclusions:
- Wise pattern breast reconstruction with large implants and dermal matrix is a safe direct-to-implant technique for selected macromastia patients.
- The technique demonstrates a favorable outcome in a clinical series.
