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Skin-Reduction Breast Reconstructions with Prepectoral Implant

Caputo, Glenda Giorgia M.D., Ph.D.; Marchetti, Alberto M.D.; Dalla Pozza, Edoardo M.D.; Vigato, Enrico M.D.; Domenici, Lavinia M.D.; Cigna, Emanuele M.D., Ph.D.; Governa, Maurizio M.D.

Plastic and Reconstructive Surgery: June 2016 - Volume 137 - Issue 6 - p 1702-1705
doi: 10.1097/PRS.0000000000002227
Breast: Ideas and Innovations
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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. These preliminary results need to be confirmed by long-term and comparative studies.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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, sblenda@yahoo.it

Copyright © 2016 by the American Society of Plastic Surgeons