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Updated: Dec 27, 2025
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Prepectoral breast reconstruction with TiLoop® Bra Pocket: a single center prospective study
F Lo Torto1, M Marcasciano, J Kaciulyte
1Sapienza University of Rome, Policlinico Umberto I, Department of Surgery "P. Valdoni", Unit of Plastic and Reconstructive Surgery, Sapienza University of Rome, Rome, Italy. justekc@gmail.com.
Immediate breast reconstruction (IBR) using prepectoral implants covered with TiLoop® Bra mesh shows reduced complications. This technique minimizes implant exposure time and bacterial contamination risk, improving patient outcomes.
Area of Science:
- Oncology
- Plastic Surgery
- Biomaterials
Background:
- Immediate breast reconstruction (IBR) frequency has increased.
- Prepectoral implant placement is a growing trend in IBR.
- Complete implant coverage is crucial for reducing complications.
Purpose of the Study:
- To describe a case series of IBR using prepectoral implant placement.
- To evaluate the use of TiLoop® Bra titanium-coated polypropylene mesh (TCPM) for complete implant coverage.
- To assess the safety and efficacy of this technique.
Main Methods:
- Eighteen women with breast tumors underwent mastectomy and prepectoral IBR.
- Implants were placed in pre-shaped TiLoop® Bra Pocket meshes.
- Mesh pockets were positioned over the pectoralis major muscle fascia.
Main Results:
- The mean surgical time for implant positioning was four minutes.
- A reduction in implant exposure time and risk of bacterial contamination was observed.
- Three out of 18 patients experienced complications, resolving within four weeks.
Conclusions:
- Prepectoral IBR with TiLoop® Bra Pocket mesh is a viable technique.
- This method significantly reduces surgical time and implant exposure.
- The technique lowers the risk of complications such as infection.
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