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European Journal of Plastic Surgery

, Volume 40, Issue 3, pp 255–258 | Cite as

Long term follow-up on prepectoral ADM-assisted breast reconstruction: evidences after 4 years

  • Giorgio Berna
  • Simon J. Cawthorn
Case Report

Abstract

Prepectoral implant-based breast reconstruction is on the rise because of the advantages related to preservation of the pectoralis major muscle. Indeed, this reconstructive procedure improves the aesthetic outcomes and the postoperative recovery time, avoiding the risk of breast animation and deformity. On the other hand, the subcutaneous implant positioning has higher risk of capsular contracture and for this reason, the subpectoral breast reconstruction has been preferred for many years; but the introduction of a pre-shaped acellular dermal matrix (ADM) which allows a complete implant coverage led to the onset of the new prepectoral technique, solving the problem of a stiff periprosthetic capsule formation. In fact, the use of ADMs in breast reconstruction has been shown to decrease the capsular contracture formation. Nevertheless, no long-term outcomes have been reported with the use of a pre-shaped ADM for prepectoral breast reconstruction. The authors present the first ten patients who had a prepectoral ADM-assisted breast reconstruction showing no evidences of capsular contracture after a median follow-up of 4 years.

Level of Evidence: Level V, therapeutic study.

Keywords

Mammaplasty Prepectoral Muscle-sparing Acellular dermis Total wrapping Follow-up 

Notes

Compliance with ethical standards

Conflict of interest

Giorgio Berna and Simon Cawthorn declare that they have no conflict of interest.

Patient consent

Patients provided written consent before their inclusion in this study. Additional consent was obtained for the use of their images.

Ethical standards

For this type of retrospective study, formal consent from an ethics committee is not required. The retrospective analysis of such procedure in the first ten cases, focused on capsule contracture issue, was approved by our institutional review board.

Funding

No grants nor funds have been received for this study.

Supplementary material

238_2017_1285_MOESM1_ESM.avi (15.8 mb)
Online Resource 1 (AVI 16200 kb)
238_2017_1285_MOESM2_ESM.avi (9.7 mb)
Online Resource 2 (AVI 9960 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Department of Plastic and Reconstructive SurgeryUlss 2, Ca’ Foncello General HospitalTrevisoItaly
  2. 2.Breast Care Center, North Bristol NHS TrustBristolUK

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