Objectives: Review long term outcomes following prefectoral breast reconstruction
Introduction: Introduction: Prepectoral placement of prosthetic devices has become the preferred method for breast reconstruction. This presentation will review the long-term surgical and aesthetic outcomes.
Materials / method: Methods: In a review of our first 90 patients (139 breasts), we analyzed preoperative and postoperative breast symmetry, rippling, edge visibility, and capsular contracture. Follow-up for all patients ranged from at least 1 year up to a maximum of 4.3 years. Secondary procedures such as fat grafting, implant exchange, contralateral procedures, and autologous flap conversion were reviewed.
Results: Results: Breast symmetry noted preoperatively in 84.4% of patients but gradually declined to 68.9% after 1 to 2 years and to 56.7% after 2 to 5 years. Rippling and edge visibility was noted in 19.4% and 12.9% of patients, respectively. Explantation without replacement of the device was performed in 12 breasts (8.6%). Secondary procedures included autologous fat grafting (23.7%), implant replacement (7.2%), conversion to an autologous flap (12.2%), and a contralateral breast procedure in 15 of 41 patients (36.6%). Capsular contracture (grade 3-4) was demonstrated in 14 of 139 breasts (10.1%); h
Conclusion: Conclusions: Prepectoral breast reconstruction can provide good to excellent short-term (1-2 years) and longer-term (2-4.3 years) benefits; however, over time, the quality of prepectoral breast reconstruction as well as breast symmetry can change due to various factors.
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability