Subcutaneous Direct-to-Implant Breast Reconstruction: Surgical, Functional, and Aesthetic Results after Long-Term Follow-Up

Plastic and Reconstructive Surgery. Global Open
Marco BerniniDonato Casella

Abstract

Direct-to-implant breast reconstruction can be achieved more easily by means of soft-tissue replacement devices such as dermal matrices and synthetic meshes. The feasibility of a subcutaneous approach has been recently investigated by some studies with different devices functioning as implant support. Aim of this study is to analyze the long-term results, both objective and subjective, of a previous nonrandomized trial comparing prepectoral (subcutaneous) and retropectoral breast reconstructions. Patients enrolled in a nonrandomized prospective trial, comparing the standard retropectoral reconstruction and the prepectoral subcutaneous approach, using a titanium-coated mesh in both techniques, were followed up and evaluated for long-term results. Cases were compared in terms of the causes and rate of reinterventions, of the postoperative BREAST-Q questionnaire results, and of an objective surgical evaluation. The subcutaneous group had a rate of implant failure and removal of 5.1% when compared with 0% in the retropectoral group. Aesthetic outcome was significantly better for the subcutaneous group both at a subjective and at an objective evaluation. Capsular contracture rate was 0% in the subcutaneous group. A higher rate of im...Continue Reading

References

Apr 27, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Vijay BindingnaveleDong-Joon Lee
Feb 4, 2010·Plastic and Reconstructive Surgery·Yoon S ChunElof Eriksson
Oct 28, 2011·Plastic and Reconstructive Surgery·Andrew J VardanianJaco H Festekjian
Dec 22, 2011·Plastic and Reconstructive Surgery·John Y S KimVinay Rawlani
Apr 25, 2012·Annals of Surgical Oncology·Anne Warren PeledLaura J Esserman
May 1, 2012·Plastic and Reconstructive Surgery·Katie E WeichmanNolan S Karp
Jul 4, 2012·The Lancet Oncology·Umberto VeronesiPaolo Veronesi
Sep 18, 2012·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M DieterichB Gerber
Jun 29, 2013·Plastic and Reconstructive Surgery·Max DieterichCarolin Nestle-Kraemling
Jul 17, 2015·Plastic and Reconstructive Surgery. Global Open·Koichi TomitaKo Hosokawa

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Citations

Dec 16, 2016·Plastic and Reconstructive Surgery. Global Open·Ara A SalibianNolan S Karp
Aug 24, 2017·Plastic and Reconstructive Surgery. Global Open·Michal BrichacekThomas E J Hayakawa
Feb 27, 2018·Plastic and Reconstructive Surgery·Nikhil SobtiEric C Liao
Aug 24, 2017·Plastic and Reconstructive Surgery. Global Open·Lauren C Nigro, Nadia P Blanchet
Aug 24, 2017·Plastic and Reconstructive Surgery. Global Open·Apresh SinglaDavid Caminer
Nov 23, 2017·Plastic and Reconstructive Surgery·Allen Gabriel, G Patrick Maxwell
Nov 23, 2017·Plastic and Reconstructive Surgery·Glyn JonesEric Elwood
Nov 23, 2017·Plastic and Reconstructive Surgery·Scot Bradley Glasberg
Apr 11, 2018·Plastic and Reconstructive Surgery. Global Open·Steven SigaloveAllen Gabriel
Mar 3, 2018·The Breast Journal·Maurice Y Nahabedian
Jan 19, 2019·Plastic and Reconstructive Surgery. Global Open·Arash Momeni
Dec 21, 2018·Annals of Plastic Surgery·Christine V SchaefferChris A Campbell
Jun 28, 2019·Plastic and Reconstructive Surgery·Jordan D FreyNolan S Karp
Oct 18, 2019·Yeungnam University Journal of Medicine·Sung-Eun Kim
Oct 19, 2019·Plastic and Reconstructive Surgery. Global Open·Fares SamraJoseph H Dayan
Oct 31, 2019·Annals of Plastic Surgery·Shayda J MirhaidariDouglas S Wagner
Nov 2, 2019·ANZ Journal of Surgery·Ian E-Ern NgJames French
Jan 9, 2020·Annals of Plastic Surgery·Yunzhu LiXiao Long
Nov 4, 2017·BioMed Research International·Nicolò BertozziEdoardo Raposio
Jun 8, 2018·Plastic and Reconstructive Surgery. Global Open·Lisa Gfrerer, Eric C Liao
Mar 19, 2019·Plastic and Reconstructive Surgery. Global Open·Elspeth J R Hill, Donald W Buck
Apr 3, 2020·British Journal of Hospital Medicine·Victoria Teoh, Gerald Gui
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Arash MomeniIrene L Wapnir
Jun 8, 2018·Plastic and Reconstructive Surgery. Global Open·Gurjot S WaliaJustin M Sacks
Mar 13, 2019·Plastic and Reconstructive Surgery. Global Open·Ewa Komorowska-TimekAlan T Davis
Apr 30, 2019·Plastic and Reconstructive Surgery·Anuja K Antony, Emilie C Robinson
Jun 9, 2020·Breast Cancer Research and Treatment·Meghan E VidtKathryn H Schmitz
Aug 30, 2020·Aesthetic Plastic Surgery·Diego RibuffoAlessandro Scalise
Oct 25, 2017·Plastic and Reconstructive Surgery·Ryan P Ter Louw, Maurice Y Nahabedian
Oct 3, 2018·Plastic and Reconstructive Surgery. Global Open·Ryan E ReboweMaurice Y Nahabedian
Mar 19, 2019·Plastic and Reconstructive Surgery. Global Open·Benjamin LiliavAlice K Jacobson

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Methods Mentioned

BETA
dissection

Software Mentioned

BREAST
Stata

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