Pre-Pectoral One-Stage Breast Reconstruction with Anterior Coverage Using Superior Anterior Biological Acellular...

Area of Science:

• Biomedical Engineering
• Plastic Surgery
• Regenerative Medicine

Background:

• Acellular dermal matrix (ADM) is a key biomaterial in modern breast reconstruction.
• ADM processing removes cellular antigens, creating a biocompatible scaffold.
• ADM enhances outcomes in various breast reconstruction techniques.

Observation:

• This case report details a one-stage prepectoral breast reconstruction using ADM.
• A combined dermal pocket was created using an inferior dermal flap and an ADM patch.
• The ADM patch extended coverage to the upper pole of the breast implant.

Findings:

• The described technique facilitates immediate, single-stage reconstruction.
• It optimizes the use of ADM, reducing the overall quantity required.
• The method increases reliance on vascularized tissue and implant support.

Implications:

• This approach offers a less invasive prepectoral breast reconstruction.
• Patients may experience reduced postoperative pain and minimal anatomic disruption.
• The technique presents a viable alternative for enhancing breast reconstruction outcomes.