Prepectoral Implant-Based Breast Reconstruction: Rationale, Indications, and Preliminary Results
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- 1 February 2017
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Plastic and Reconstructive Surgery
- Vol. 139 (2), 287-294
- https://doi.org/10.1097/prs.0000000000002950
Abstract
Implant-based breast reconstruction is currently performed with placement of the implant in a subpectoral pocket beneath the pectoralis major muscle, by means of the dual-plane approach. Although the safety and breast aesthetics of this approach are well recognized, it is not without concerns. Animation deformities and accompanying patient discomfort, which are direct consequences of muscle elevation, can be severe in some patients. Moving the implant prepectorally may eliminate these concerns. For a successful prepectoral approach, the authors advocate use of their bioengineered breast concept, which was detailed in a previous publication. In this report, the authors discuss the rationale for prepectoral implant reconstruction, its indications/contraindications, and preliminary results from over 350 reconstructions. Therapeutic, IV.Keywords
This publication has 16 references indexed in Scilit:
- Bioengineered BreastPlastic and Reconstructive Surgery, 2016
- AlloDerm and Strattice in Breast ReconstructionPlastic and Reconstructive Surgery, 2012
- Outcome Assessment of Breast Distortion Following Submuscular Breast AugmentationAesthetic Plastic Surgery, 2008
- Implant-Based Breast Reconstruction with AllograftPlastic and Reconstructive Surgery, 2007
- Nonexpansive Immediate Breast Reconstruction Using Human Acellular Tissue Matrix Graft (AlloDerm)Annals of Plastic Surgery, 2006
- Immediate Bilateral Breast Reconstruction With Implants and Inferolateral AlloDerm SlingsAnnals of Plastic Surgery, 2005
- Mammary Reconstruction Using Tissue Expander and Partial Detachment of the Pectoralis Major Muscle to Expand the Lower Breast QuadrantsAnnals of Plastic Surgery, 2004
- Immediate Breast Reconstruction in Two Stages Using Textured, Integrated-Valve Tissue Expanders and Breast ImplantsPlastic and Reconstructive Surgery, 2004
- Use of a Skin-Sparing Reduction Pattern to Create a Combination Skin-Muscle Flap Pocket in Immediate Breast ReconstructionPlastic and Reconstructive Surgery, 2002
- Breast Reconstruction Following MastectomyPlastic and Reconstructive Surgery, 1981