Enhancing Prepectoral Direct-to-Implant Reconstruction Using the Serratus Anterior Fascia: The Hybrid Plane.

ABSTRACT: Immediate breast reconstruction has advanced significantly, yet optimal implant placement remains debated. Prepectoral implant-based breast reconstruction (IBR) offers aesthetic benefits but risks implant exposure and ptosis. Although acellular dermal matrices mitigate these risks, they pose complications such as infection, red breast syndrome, and high costs. Here, we aim to describe and evaluate our technique using the serratus anterior fascia as an autologous alternative for lower pole and lateral support in prepectoral IBR. All patients undergoing prophylactic or curative nipple-sparing mastectomy with immediate prepectoral direct-to-implant reconstruction between October 2023 and December 2024 received the hybrid plane technique and were included. In total, 10 patients received this t

SUBMITTER: Berkane Y 

PROVIDER: S-EPMC12818859 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature