Transparent Film Bra Dressing for Prepectoral Breast Reconstruction

Postoperative dressings play a critical yet underappreciated role in implant-based breast reconstruction outcomes. We describe a simple, reproducible transparent film (Tegaderm™, 3M TM, St. Paul, MN) "bra" dressing for prepectoral breast reconstruction to stabilize the mastectomy flap, promote adherence of acellular dermal matrix, and reduce seroma and reoperation rates. The method leverages semi-occlusion, antimicrobial coverage, moisture regulation, gentle compression and structural support to optimize healing and patient comfort. Patients maintain the dressings until postoperative follow-up without external bras, reducing variability in wound care. This dressing is cost-neutral and integrates seamlessly into existing workflows, making it a practical innovation for standardizing postoperative management in prepectoral breast reconstruction.