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Updated: Oct 2, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Revising Prepectoral Breast Reconstruction.

Adam M Goodreau1, Cassandra R Driscoll1, Anthony Nye1

  • 1From the Division of Plastic and Reconstructive Surgery, Virginia Commonwealth School of Medicine.

Plastic and Reconstructive Surgery
|February 23, 2022
PubMed
Summary
This summary is machine-generated.

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Prepectoral breast reconstruction is increasingly popular due to less pain and faster recovery. This article details techniques for revising these reconstructions and preventing complications.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Breast Reconstruction

Background:

  • Prepectoral prosthetic breast reconstruction is gaining popularity over subpectoral methods.
  • Advantages include reduced postoperative pain, animation deformity, and operative time.
  • Widespread adoption necessitates understanding revision techniques.

Purpose of the Study:

  • To present surgical techniques for revising prepectoral breast reconstructions.
  • To address modifications needed for the prepectoral space compared to submuscular revisions.
  • To offer strategies for minimizing undesirable outcomes in prepectoral reconstruction.

Main Methods:

  • Review and presentation of surgical techniques developed by the senior author (N.P.B.).
  • Focus on revisions for both staged and direct-to-implant prepectoral reconstructions.

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  • Special emphasis on nipple-sparing prepectoral breast reconstruction revisions.

    • Main Results:

    • Established techniques for implant exchange and fat grafting can be adapted.
    • Specific modifications are required for the prepectoral space.
    • Progressive alterations in breast footprint, conus, envelope, and NAC position are noted.

    Conclusions:

    • Revision techniques for prepectoral breast reconstruction are presented.
    • Strategies are provided to minimize undesirable outcomes.
    • This work addresses a gap in the literature regarding prepectoral reconstruction revisions.