Immediate Hybrid Breast Reconstruction: Dual-Plane Approach Using Prepectoral Implants and Retropectoral Fat...

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Breast Reconstruction

Background:

• Implant-based breast reconstruction (BR) is a common method.
• The study evaluated a novel hybrid 1-stage BR technique.

Purpose of the Study:

• To assess the efficacy of a hybrid 1-stage BR technique using prepectoral implants and retropectoral autologous fat transfer (AFT).
• To compare this hybrid approach with traditional direct-to-implant BR without AFT.

Main Methods:

• Prospective enrollment for the hybrid group (Group A) and retrospective analysis for the control group (Group B).
• Analysis included complications, hospitalization, AFT sessions, aesthetic outcomes, and patient satisfaction.
• Fat survival was assessed via MRI scans at 6 months post-procedure.

Main Results:

• No significant differences in complications or hospitalization days between groups.
• The hybrid approach resulted in fewer additional AFT sessions.
• Higher overall patient and surgeon satisfaction was observed in the hybrid group.
• Average retropectoral fat survival was 47.90% at 6 months.

Conclusions:

• The hybrid 1-stage BR technique allows for smaller implants and reduces the need for AFT procedures, leading to cost savings.
• This approach improves breast shape and contour, minimizing deformities like step-off and rippling.
• The hybrid technique achieves optimal aesthetic results without increasing complication rates.