Comparative Analysis of Prepectoral Versus Subpectoral Implant-based Breast Reconstruction

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2021 Aug 23

PMID 34422525

Citations 9

Authors

Sarah J Plachinski

Lucas M Boehm

Karri A Adamson

John A LoGiudice

Erin L Doren

Affiliations

Soon will be listed here.

Abstract

Methods: To address this knowledge gap, we performed a single institution retrospective review of 186 (83 prepectoral, 103 subpectoral) consecutive immediate breast reconstructions. All cases were tracked for a minimum of 2 years between 2016 and 2021.

Results: Prepectoral patients demonstrated an overall higher seroma rate ( 0.001), with all other postoperative complications being comparable. Prepectoral patients tolerated higher intraoperative tissue expander fill volumes ( 0.001), shorter hospital stays ( = 0.007), fewer clinic visits for tissue expansion ( 0.001), and experienced less animation deformity ( = 0.005). Both groups demonstrated similar pain scores ( 0.65) and needs for narcotics ( 0.8) as well as comparable scores of capsular contracture ( 0.791).

Conclusions: Our comparative analysis of consecutive immediate implant-based breast reconstructions finds prepectoral reconstruction to be safe and effective. Compared with subpectoral reconstruction, the prepectoral approach may offer quicker tissue expansion, less postoperative office visits, less need for muscle relaxants, and a shorter hospital stay with a comparable complication profile.

Citing Articles

Comparative complications of prepectoral versus subpectoral breast reconstruction in patients with breast cancer: a meta-analysis.

Wu Y, Yu L, Huang M, Huang Y, Li C, Liang Y Front Oncol. 2024; 14:1439293.

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Comparing outcomes of prepectoral, partial muscle-splitting subpectoral, and dual-plane subpectoral direct-to-implant reconstruction: implant upward migration and the pectoralis muscle.

Min K, Min J, Han H, Kim E, Eom J Gland Surg. 2024; 13(6):852-863.

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A Single-center Comparison of Surgical Outcomes following Prepectoral and Subpectoral Implant-based Breast Reconstruction.

Villanueva K, Patel H, Ghosh D, Klomhaus A, Slack G, Festekjian J Plast Reconstr Surg Glob Open. 2024; 12(6):e5880.

PMID: 38859804 PMC: 11163997. DOI: 10.1097/GOX.0000000000005880.

Enhanced Recovery after Surgery Protocol Decreases Length of Stay and Postoperative Narcotic Use in Tissue Expander-based Breast Reconstruction.

Taylor J, Moman P, Chevalier J, Tseng C, Festekjian J, DeLong M Plast Reconstr Surg Glob Open. 2024; 12(6):e5879.

PMID: 38855130 PMC: 11161298. DOI: 10.1097/GOX.0000000000005879.

Prepectoral versus subpectoral two-stage implant-based breast reconstruction: U.S. medical center experience and narrative review.

Escandon J, Weiss A, Christiano J, Langstein H, Escandon L, Prieto P Ann Transl Med. 2024; 11(12):411.

PMID: 38213807 PMC: 10777228. DOI: 10.21037/atm-23-1094.

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