Skin-Reduction Breast Reconstructions with Prepectoral Implant covered by a combined dermal flap and Titanium-coated polypropylene mesh

Publication date: Available online 8 June 2018
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Marco Marcasciano, Juste Kaciulyte, Marika Gentilucci, Leonardo Barellini, Diego Ribuffo, Donato Casella
A rise in breast reconstruction after mastectomy was registered in the last few decades. Conservative mastectomies as Skin-sparing mastectomy (SSM) and nipple-sparing mastectomy (NSM) developed as well and it was introduced a new goal to achieve: to ensure adequate coverage to the implant minimizing eventual complications as well as maximize cosmetic outcomes.We report our experience performing immediate pre-pectoral implant based breast reconstruction following skin reducing mastectomy, by using a combined inferior dermal flap and Titanium-coated polypropylene mesh, TiLoop Bra pocket. In selected patients with adequate soft tissue residual coverage, excellent aesthetic results and low complication rate combined with cost saving was achieved.