Prepectoral and subpectoral direct-to-implant breast reconstruction yield high cosmetic scores: Surgeon ratings favor prepectoral placement-secondary results from a randomized controlled trial.

ABSTRACT:

Background

Direct-to-implant (DTI) breast reconstruction is increasingly used following mastectomy, with implants placed in a subpectoral or prepectoral plane. While subpectoral placement has been the conventional approach, prepectoral reconstruction is gaining popularity due to reduced risk of breast animation deformity (BAD) and potentially improved patient comfort. However, comparative data on cosmetic outcomes remain limited.

Objectives

To compare patient- and surgeon-reported cosmetic outcomes following prepectoral and subpectoral DTI breast reconstruction as a secondary analysis of a randomized controlled trial.

Methods

Forty-two patients undergoing post-mastectomy DTI breast reconstruction were randomized to receive either subpectoral or prepectoral implant pla

SUBMITTER: Gulmark Hansen F 

PROVIDER: S-EPMC12682047 | biostudies-literature | 2026 Mar

REPOSITORIES: biostudies-literature