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Prepectoral Breast Reconstruction: An Overview of the History, Technique, and Reported Complications

Authors Bloom JA, Patel K, Cohen S, Chatterjee A, Homsy C

Received 18 October 2019

Accepted for publication 17 February 2020

Published 21 February 2020 Volume 2020:13 Pages 1—9

DOI https://doi.org/10.2147/OAS.S201298

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Luigi Bonavina


Joshua A Bloom,1 Krishnabhai Patel,1 Stephanie Cohen,2 Abhishek Chatterjee,3 Christopher Homsy4

1Department of Surgery, Tufts Medical Center, Boston, MA, USA; 2Department of Surgery, Tufts University School of Medicine, Boston, MA, USA; 3Division of Plastic Surgery, Tufts Medical Center, Boston, MA, USA; 4Division of Plastic and Reconstructive Surgery, Tulane University Medical Center, New Orleans, LA, USA

Correspondence: Abhishek Chatterjee
Department of Plastic Surgery, Chatterjee Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA
Tel + 1860-874-7550
Fax +1617-636-9095
Email Achatterjee1@tuftsmedicalcenter.org

Abstract: Prepectoral breast reconstruction is an increasingly prevalent form of breast reconstruction. Prepectoral breast reconstruction was abandoned in the past due to various complications but has recently made a resurgence due to the development of acellular dermal matrices and innovative techniques. The purpose of this review article is to discuss the history, techniques, benefits, and potential complications of prepectoral breast reconstruction. The article also reviews current literature to evaluate published complication rates. Complications evaluated include infection (3.67%), wound dehiscence (2.10%), skin necrosis (3.67%), seroma (2.89%), hematoma (1.34%), implant loss (3.28%), return to the OR (6.15%), contracture (3.61%), and rippling (7.38%). In conclusion, prepectoral breast reconstruction is a reliable, safe, and aesthetically feasible method of breast reconstruction. With increasing interest in this technique, it is important that surgeons and patients are familiar with prepectoral reconstruction and this article aims at providing this information.

Keywords: prepectoral, breast, reconstruction, trends, techniques, complications

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