Prepectoral Prosthetic Breast Reconstruction Without ADM Using a Subfascial Approach.

ABSTRACT:

Background

Immediate prosthetic reconstruction has evolved to a prepectoral position. A technique is described where the pectoral and serratus fascia is raised from superiorly. Initially, Vicryl mesh was used to close the superior fascial defect, but later abandoned by using primary closure for tissue expanders, or creating a pocket in the infraclavicular pectoralis muscle after prosthesis (DTI) insertion. The inframammary fold is also reinforced. Patients with a BMI > 30 have axillary liposuction.

Method

Retrospective analysis over a 4-year period. Data included age, number of breasts having expanders or DTI. Prosthetic extrusion and follow-up were recorded. The percentage coverage by fascia was calculated.

Results

Forty-seven patients (80 breasts) had mean age of 42

SUBMITTER: Hudson DA 

PROVIDER: S-EPMC11750929 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature