Plastic & Reconstructive Surgery:
June 2016 -
Volume 137 - Issue 6 - p 1702–1705
Caputo,
G et al
Summary:
Skin-reduction mastectomy with prepectoral implant reconstruction is a novel
technique for immediate breast reconstruction, with subcutaneous implant
placement in patients eligible for skin-reducing mastectomy. Implants were
placed above the pectoralis muscles in a compound pocket made by a dermal flap
and acellular dermal matrix. The procedure was performed on 33 breasts in 27
selected patients. In three cases, there was skin ischemia; in one case, it
healed spontaneously; and in two patients, a surgical necrosectomy and primary
closure were needed. No implant loss occurred. This new technique proved to be
a useful alternative, with good cosmetic results, in selected patients
requiring mastectomy
