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Updated: Jun 27, 2025

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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
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Immediate Unilateral Subpectoral Implant-Based Breast Reconstruction does not Impair Pulmonary Functions: A
Lior Har-Shai1,2, Eyal Franco3,4, Michal Shteinberg5,4
1The Department of Reconstructive Plastic Surgery & Burns, Rabin Medical Center, Beilinson Hospital, 39 Jabotinski St, 49100, Petah Tikva, Israel. liorhs@gmail.com.
Aesthetic Plastic Surgery
|April 26, 2024
Summary
Subpectoral breast reconstruction using implants does not negatively impact lung function in mastectomy patients. This study found no significant changes in pulmonary function after the procedure.
Area of Science:
- Oncology
- Plastic Surgery
- Pulmonology
Background:
- Breast reconstruction is a common procedure for breast cancer patients.
- Subpectoral implant placement involves the pectoralis major muscle, an accessory respiratory muscle.
- The impact of subpectoral breast reconstruction on pulmonary function requires investigation.
Purpose of the Study:
- To assess the effect of subpectoral unilateral implant-based breast reconstruction on pulmonary function.
- To determine if pectoralis muscle manipulation during reconstruction affects respiratory capacity.
Main Methods:
- Prospective study of 14 women undergoing immediate unilateral subpectoral implant breast reconstruction.
- Pulmonary function tests (spirometry, maximal voluntary ventilation) performed pre-surgery and at 1 and 3 months post-surgery.
- Statistical analysis using ANOVA or Friedman test to compare pre- and post-operative pulmonary function.
Main Results:
- All 14 patients completed the study.
- No statistically significant differences were observed in spirometry parameters at any of the three time points.
- Pulmonary function remained stable before and after subpectoral breast reconstruction.
Conclusions:
- Pectoralis muscle release during subpectoral breast reconstruction does not impair pulmonary function.
- Immediate unilateral implant-based breast reconstruction is safe concerning respiratory function.
Keywords:
Breast implantsBreast neoplasmsBreast reconstructionPectoralis MuscleRespiratory function tests
