2021/08/24 by Chris A. Campbell, Albert Losken · 29 citations
Biochemistry, Genetics and Molecular Biology · Medicine · #Breast Cancer Treatment Studies #Breast Implant and Reconstruction #Breast cancer #Breast reconstruction #Cancer #Capsular contracture #Complication #Deformity #Implant #Internal medicine #Medicine #Patient satisfaction #Reconstructive Surgery and Microvascular Techniques #Surgery
paper · doi:10.1097/prs.0000000000008229
published in Plastic & Reconstructive Surgery 148(3), 437e-450e (Lippincott Williams & Wilkins)
openalex publication_date 2021/08/24 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28
LEARNING OBJECTIVES: After studying this article, the participant should be able to: 1. Describe the risks, benefits, and safety profile of prepectoral breast reconstruction. 2. Have knowledge of primary immediate and delayed prepectoral breast reconstruction techniques and secondary procedures required. 3. Describe data on outcomes of prepectoral breast reconstruction. SUMMARY: Once considered to have an unacceptable complication profile, prepectoral breast reconstruction is increasing in popularity because of decreased surgical invasiveness and postoperative pain and the absence of animation deformity. Short-term outcomes studies comparing prepectoral breast reconstruction to partially submuscular techniques demonstrate similarly acceptable rates of postoperative complications. Aesthetic outcomes demonstrate similar rates of capsular contracture but increased rippling and implant palpability of the upper pole. Postoperative functional data are limited but overall show decreased pain and more rapid return of function but equivalent satisfaction on the BREAST-Q. Long-term aesthetic data and rates of revision are lacking.