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. These preliminary results need to be confirmed by long-term and comparative studies.
Verona and Rome, Italy
From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata; and the Department of Surgery, “Sapienza” University of Rome.
Received for publication September 29, 2015; accepted January 27, 2016.
Disclosure:The authors have no financial interest to declare in relation to the content of this article. No funds were received or used for this research.
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Glenda Giorgia Caputo, M.D., Ph.D., Piazzale Stefani, 1, Verona, Italy, firstname.lastname@example.org