A Guide to Prepectoral Breast Reconstruction: A New Dimension to Implant-based Breast Reconstruction.

Abstract:

:Acellular dermal matrix has revolutionized implant-based breast reconstruction. Breast reconstruction has evolved from the traditional submuscular to the new prepectoral implant based (also known as muscle-sparing) reconstruction. The new technique is emerging as a highly popular surgery owing to its more minimal approach. We conducted a narrative review to guide prepectoral breast reconstruction, highlighting the technique, the need for appropriate patient selection, and areas for further research. We show that prepectoral breast reconstruction is safe, feasible, and has excellent short-term outcomes (cosmesis and patient satisfaction). Its main advantages are that it avoids animation deformity, prevents shoulder dysfunction, and has a lower incidence of capsular contracture. Selection for the prepectoral technique is dependent on patient factors (eg, body mass index, lifestyle), breast size, flap assessment, and adjuvant radiotherapy. Whereas the initial short-term results are promising, long-term outcomes are yet to be reported and is an area that requires further research.

journal_name

Clin Breast Cancer

journal_title

Clinical breast cancer

authors

Vidya R,Iqbal FM

doi

10.1016/j.clbc.2016.11.009

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

266-271

issue

4

eissn

1526-8209

issn

1938-0666

pii

S1526-8209(16)30350-0

journal_volume

17

pub_type

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