Current Global Trends in Prepectoral Breast Reconstruction.

Area of Science:

• Plastic Surgery
• Oncology
• Reconstructive Surgery

Background:

• Implant-based breast reconstruction (IBBR) is a common procedure after mastectomy.
• Prepectoral breast reconstruction (PPBR) involves placing implants above the chest muscle, gaining popularity over subpectoral breast reconstruction (SPBR).
• Limited data exists on national trends in PPBR utilization.

Purpose of the Study:

• To review global trends in PPBR.
• To analyze patient/implant selection, techniques, mesh use, outcomes, complications, radiotherapy effects, and fat grafting in PPBR.
• To focus on literature from the last five years.

Main Methods:

• Narrative review of published papers.
• Analysis of global patterns and specific considerations in PPBR.
• Focus on recent advancements and outcomes.

Main Results:

• PPBR is an increasingly appropriate surgical choice.
• Improved outcomes are linked to advancements in implant technology.
• Progress in mastectomy techniques, fat grafting, and acellular dermal matrices (ADMs) enhances aesthetic results.

Conclusions:

• PPBR is a well-established and effective technique in breast reconstruction.
• Advancements have significantly improved PPBR outcomes and aesthetic results.
• PPBR is a vital tool for plastic surgeons in breast reconstruction armamentarium.