Body Mass Index Can Predict Outcomes in Direct-to-Implant Prepectoral Breast Reconstruction

Casella, Donato; Taranto, Giuseppe Di; Torto, Federico Lo; Marcasciano, Marco; Kaciulyte, Juste; Greco, Manfredi; Onesti, Maria Giuseppina; Ribuffo, Diego

doi:10.1097/prs.0000000000006703

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…In an era where continuous innovations such as 3D printing can aid surgical planning [ 23 , 24 ], the search for new materials can radically change surgical tactics. The introduction of biological and synthetic devices aimed at providing an additional layer between the prosthesis and subcutaneous tissue has contributed to prepectoral reconstructions as a predominant role among the reconstructive techniques, reducing the complication rate and increasing the possibility of refining the shape of the breast with fat grafting [ 25 , 26 , 27 ]. Recent studies in the literature report a small complication rate for this technique with the advantage of a more natural aesthetic result compared with submuscular implants [ 28 , 29 , 30 , 31 , 32 , 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Controlateral Symmetrisation in SRM for Breast Cancer: Now or Then? Immediate versus Delayed Symmetrisation in a Two-Stage Breast Reconstruction

et al. 2022

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Introduction: The timing of contralateral symmetrisation in patients with large and ptotic breasts undergoing a unilateral skin-reducing mastectomy (SRM) is one of the most debated topics in the reconstructive field. There is no evidence to support the advantage of immediate or delayed symmetrisation to help surgeons with this decision. The aim of this study was to investigate the clinical and aesthetic outcomes of immediate symmetrisation. Methods: A randomised observational study was conducted on patients who underwent an SRM for unilateral breast cancer. Based on a simple randomisation list, patients were divided into two groups: a delayed symmetrisation group versus an immediate symmetrisation group. The postoperative complications, BREAST-Q outcomes and reoperations were compared. Results: Out of a total of 84 patients undergoing an SRM between January 2018 and January 2021, 42 patients underwent immediate symmetrisation and 42 patients had delayed symmetrisation. Three implant losses (7.2%) were observed and we reported three wound dehiscences; one of these was in a contralateral breast reconstruction in the immediate symmetrisation group. The BREAST-Q patient-reported outcome measures recorded better aesthetic outcomes and a high patient satisfaction for the immediate symmetrisation group. Conclusions: Simultaneous controlateral symmetrisation is a good alternative to achieve better satisfaction and quality of life for patients; from a surgical point of view, it does not excessively impact on the second time of reconstruction.

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Section: Discussionmentioning

confidence: 99%

Controlateral Symmetrisation in SRM for Breast Cancer: Now or Then? Immediate versus Delayed Symmetrisation in a Two-Stage Breast Reconstruction

et al. 2022

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“…17 Similarly, low body mass index is associated with an even higher risk of developing a surgical complication. 40,41 We assigned 2 points to patients with a medium body mass index range (22 to 25 kg/m 2 ), 1 point to patients with a higher body mass index (>25 kg/m 2 ), and 0 points to those with a lower body mass index (<22 kg/m 2 ). Furthermore, our assessment score considered also cases with breast ptosis, which would need skin-reducing mastectomy; these cases are associated with a substantial risk of implant exposure at the inframammary fold.…”

Section: Discussionmentioning

confidence: 99%

“To Pre or Not to Pre”: Introduction of a Prepectoral Breast Reconstruction Assessment Score to Help Surgeons Solving the Decision-Making Dilemma. Retrospective Results of a Multicenter Experience

Casella

Kaciulyte

Torto

et al. 2021

Plastic &Amp; Reconstructive Surgery

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“…Nonetheless, we applied the very same flap design even in patients with more elevated BMI as the dermal substrate provides reliable vascularization to the additional recruited fat [47].…”

Section: Discussionmentioning

confidence: 99%

Extended Latissimus Dorsi Kite Flap (ELD-K Flap): Revisiting an Old Place for a Total Autologous Breast Reconstruction in Patients with Medium to Large Breasts

et al. 2020

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Background The latissimus dorsi (LD) flap represents one of the most reliable methods for autologous breast reconstruction. However, in many patients, the exclusive use of this technique may not guarantee the restoration of an adequate volume and projection. We report our experience with the extended latissimus dorsi kite flap (ELD-K flap), an alternative surgical approach to maximize the volume of the fleur-de-lis pattern LD flap, for total autologous breast reconstruction.Methods Between 2016 and 2018, 23 patients were subjected to mastectomy and immediate autologous reconstruction with ''extended latissimus dorsi kite flap'' (ELD-K flap), technique that employs an extended version of the LD musculocutaneous flap, based on the skeletonized thoracodorsal pedicle and a trilobate skin incision with an

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Body Mass Index Can Predict Outcomes in Direct-to-Implant Prepectoral Breast Reconstruction

Cited by 6 publications

References 5 publications

Controlateral Symmetrisation in SRM for Breast Cancer: Now or Then? Immediate versus Delayed Symmetrisation in a Two-Stage Breast Reconstruction

Controlateral Symmetrisation in SRM for Breast Cancer: Now or Then? Immediate versus Delayed Symmetrisation in a Two-Stage Breast Reconstruction

“To Pre or Not to Pre”: Introduction of a Prepectoral Breast Reconstruction Assessment Score to Help Surgeons Solving the Decision-Making Dilemma. Retrospective Results of a Multicenter Experience

Extended Latissimus Dorsi Kite Flap (ELD-K Flap): Revisiting an Old Place for a Total Autologous Breast Reconstruction in Patients with Medium to Large Breasts

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