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NATIVE study: Skin-Reduction Breast Reconstructions with Prepectoral Implant

NATIVE study: Skin-Reduction Breast Reconstructions with Prepectoral Implant
Autor: Glenda Giorgia Caputo, M.D., Ph.D. Alberto Marchetti, M.D. Edoardo Dalla Pozza, M.D. Enrico Vigato, M.D. Lavinia Domenici, M.D. Emanuele Cigna, M.D., Ph.D. Maurizio Governa, M.D.
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Skin-Reduction Breast Reconstructions with
Prepectoral Implant

 

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

 

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. (Plast. Reconstr. Surg.
137: 1702, 2016.)
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.