NATIVE study: Skin-Reduction Breast Reconstructions with Prepectoral Implant
Skin-Reduction Breast Reconstructions with
Glenda Giorgia Caputo,
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.