Acellular Dermal Matrix in Prosthetic Breast Reconstructive Surgery with Prepectoral Technique: A Literature Review

Abstract

BR after surgery for cancer has indeed become crucial for patients' satisfaction and quality of life. Delayed breast reconstruction using tissue expanders has demonstrated to cause dissatisfaction towards body image and emotional and social distress [6]. Lately, thanks to the spread of devices to assess blood flow intraoperatively, of medical devices like synthetic and biological meshes (Acellular Dermal Matrices: ADMs) providing complete covering of implants [7-9], surgical techniques such as skin-sparing (SSM) and nipple-sparing mastectomies (NSM), surgeons are allowed to perform immediate breast reconstruction (IBR), avoiding the use of tissue-expanders [10].

The Impact of Breast Implant Cohesivity on Rippling and Revision Procedures in 2-Stage Prepectoral Breast Reconstruction

“…Prepectoral implant-based breast reconstruction continues to gain traction among both patients and surgeons. 6 In a recent survey of the American Society of Plastic Surgeons, 75.70% of respondents reported having performed prepectoral reconstruction in their practice. 7 Prepectoral prosthetic placement in an appropriate candidate can reduce postoperative pain, eliminate animation deformity, and mitigate functional discomfort in comparison with subpectoral reconstruction.…”