The Journey of Prepectoral Breast Reconstruction Through Time

Overview

Journal World J Plast Surg

Specialty General Surgery

Date 2021 Jul 26

PMID 34307092

Citations 16

Authors

Sharat Chopra

Zaid Al-Ishaq

Raghavan Vidya

Affiliations

Soon will be listed here.

Abstract

Background: The facet of breast reconstruction has evolved from complex surgery to simple implant-based breast reconstruction. Minimal invasive surgery or Prepectoral breast reconstruction has revolutionised the surgical treatment for breast cancer and became a reality due to advances in meshes and implants. In this review, we have looked at the journey of Prepectoral implant beast reconstruction through time.

Methods: We conducted a literature review on pre-pectoral breast reconstruction, emphasising types of cover, its outcomes, complications, and the effect of postmastectomy radiotherapy.

Results: Prepectoral breast reconstruction had advanced with time and appears to be a safe and effective method of breast reconstruction and is associated with minimal morbidity whilst providing adequate cosmesis. Radiotherapy seems to be well tolerated with early favourable results. The Implant loss rates in the Acellular Dermal Matrix (ADM) to be around 5%-6% and rippling appear to be a common adverse effect of this technique ranging from 0%-35% in various studies.

Conclusion: Prepectoral implant-based breast reconstruction has emerged as a successful method of breast reconstruction.

Citing Articles

Postoperative Outcomes in Prepectoral Versus Retropectoral Immediate Implant-based Breast Reconstruction Across Body Mass Index Categories.

Zinner G, Martineau J, Lam G, Correia D, Kalbermatten D, Oranges C Plast Reconstr Surg Glob Open. 2025; 13(1):e6425.

PMID: 39802279 PMC: 11723692. DOI: 10.1097/GOX.0000000000006425.

Acellular dermal matrices in reconstructive surgery; history, current implications and future perspectives for surgeons.

Dilek O, Sevim K, Dilek O World J Clin Cases. 2024; 12(35):6791-6807.

PMID: 39687641 PMC: 11525903. DOI: 10.12998/wjcc.v12.i35.6791.

Size Does Matter: Mastectomy Flap Thickness as an Independent Decisional Factor for the Peri-Prosthetic Device Choice in Prepectoral Breast Reconstruction.

Kaciulyte J, Sordi S, Luridiana G, Marcasciano M, Lo Torto F, Cavalieri E J Clin Med. 2024; 13(23).

PMID: 39685918 PMC: 11642221. DOI: 10.3390/jcm13237459.

Does the Omission of Cefazolin in Irrigation Solution Affect Outcomes in Prepectoral Direct-to-Implant Breast Reconstruction?.

Lee J, Chung J, Pyon J, Lee K Aesthetic Plast Surg. 2024; .

PMID: 39623231 DOI: 10.1007/s00266-024-04556-3.

Prepectoral Breast Reconstruction with Prosthesis and Acellular Dermal Matrix: A New Technique of ADM Implantation and Fixation.

Tettamanzi M, Arrica G, Ziani F, Manconi A, Beatrici E, Trignano C Plast Reconstr Surg Glob Open. 2024; 12(6):e5895.

PMID: 38881959 PMC: 11177808. DOI: 10.1097/GOX.0000000000005895.

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