摘要

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.