Abstract
Purpose of Review
Prepectoral breast reconstruction has recently experienced resurgence and continues to grow in popularity. This review seeks to discuss the history, indications, technical considerations, and outcomes associated with this technique.
Recent Findings
Recent literature on prepectoral breast reconstruction has demonstrated that no significant differences in complication rates exist between prepectoral and subpectoral methods. Furthermore, our experience at our institution demonstrated that patients undergoing prepectoral breast reconstruction have consistently high levels of satisfaction with overall outcome, satisfaction with breasts, emotional well-being, and physical functioning.
Summary
Prepectoral breast reconstruction is an acceptable and safe alternative to subpectoral approaches and can offer equal if not superior esthetic results. As with any procedure, proper patient selection is critical and should be an important consideration when determining which method of breast reconstruction is likely to yield the most favorable outcomes.
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References
Nahabedian MY, Glasberg SB, Maxwell GP. Introduction to “prepectoral breast reconstruction”. Plast Reconstr Surg. 2017;140:4S–5S. https://doi.org/10.1097/prs.0000000000004066.
Cattelani L, Polotto S, Arcuri MF, Pedrazzi G, Linguadoca C, Bonati E. One-step prepectoral breast reconstruction with dermal matrix covered implant compared to submuscular implantation: functional and cost evaluation. Clin Breast Cancer. 2017; https://doi.org/10.1016/j.clbc.2017.11.015.
Sigalove S, Maxwell GP, Sigalove NM, Storm-Dickerson TL, Pope N, Rice J, et al. Prepectoral implant-based breast reconstruction. Plast Reconstr Surg. 2017;139(2):287–94. https://doi.org/10.1097/prs.0000000000002950.
Nahabedian MY. AlloDerm performance in the setting of prosthetic breast surgery, infection, and irradiation. Plast Reconstr Surg. 2009;124(6):1743–53. https://doi.org/10.1097/prs.0b013e3181bf8087.
Basu CB, Leong M, Hicks MJ. Acellular cadaveric dermis decreases the inflammatory response in capsule formation in reconstructive breast surgery. Plast Reconstr Surg. 2010;126(6):1842–7. https://doi.org/10.1097/prs.0b013e3181f44674.
Sbitany H. Important considerations for performing prepectoral breast reconstruction. Plast Reconstr Surg. 2017;140:7S–13S. https://doi.org/10.1097/prs.0000000000004045.
Salibian AH, Harness JK, Mowlds DS. Staged suprapectoral expander/implant reconstruction without acellular dermal matrix following nipple-sparing mastectomy. Plast Reconstr Surg. 2017;139(1):30–9. https://doi.org/10.1097/prs.0000000000002845.
Hammond DC, Schmitt WP, O’Connor EA. Treatment of breast animation deformity in implant-based reconstruction with pocket change to the subcutaneous position. Plast Reconstr Surg. 2015;135(6):1540–4. https://doi.org/10.1097/prs.0000000000001277.
Zhu L, Mohan AT, Abdelsattar JM, Wang Z, Vijayasekaran A, Hwang SM, et al. Comparison of subcutaneous versus submuscular expander placement in the first stage of immediate breast reconstruction. J Plast Reconstr Aesthet Surg. 2016;69(4):e77–86. https://doi.org/10.1016/j.bjps.2016.01.006.
Nahabedian MY, Cocilovo C. Two-stage prosthetic breast reconstruction. Plast Reconstr Surg. 2017;140:22S–30S. https://doi.org/10.1097/prs.0000000000004047.
Sbitany H, Piper M, Lentz R. Prepectoral breast reconstruction. Plast Reconstr Surg. 2017;140(3):432–43. https://doi.org/10.1097/prs.0000000000003627.
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Deepa Bhat and Halley Darrach declare that they have no competing interests. Justin M. Sacks is a consultant/speaker of Allergan and a co-founder of LifeSprout.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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This article is part of the Topical Collection on Local-Regional Evaluation and Therapy
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Bhat, D., Darrach, H. & Sacks, J.M. Prepectoral Breast Reconstruction. Curr Breast Cancer Rep 10, 48–54 (2018). https://doi.org/10.1007/s12609-018-0276-9
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DOI: https://doi.org/10.1007/s12609-018-0276-9