Immediate definitive prosthetic reconstruction in patients with ptotic breasts

Stefano Gentileschi, Roberto Bracaglia, Giorgia Garganese, Valeria Gallucci, Giacomo Corrado, Fabio Pacelli, Giovanni Scambia

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Immediate reconstruction of medium/large ptotic breasts can be performed by using expanders, definitive implants, or autologous flaps. If a skin-sparing mastectomy is feasible, excellent results can be achieved by planning Wise pattern incisions, using definitive implants. The authors suggest the use of a dermal-adipose flap, harvested from the ptotic part of the breast, rotated laterally, and interposed between the serratus fascia and the pectoralis muscle to close the inferolateral part of the pocket. We performed 23 immediate unilateral single-stage breast reconstructions, with simultaneous contralateral reduction. Preoperatively, all breasts showed grade II or III ptosis. There was no case of implant infection or failure of the reconstruction. The median follow-up was 21 months; however, some patients followed up for >4 years; in this period, no case of capsular contracture was observed. This technique has provided good shape, acceptable ptosis consistent with the healthy breast and symmetric scars.

Original languageEnglish
Pages (from-to)144-148
Number of pages5
JournalAnnals of Plastic Surgery
Volume70
Issue number2
DOIs
Publication statusPublished - Feb 2013

Fingerprint

Breast
Pectoralis Muscles
Skin
Mammaplasty
Fascia
Mastectomy
Contracture
Cicatrix
Infection

Keywords

  • Breast implants
  • Breast reconstruction
  • Definitive breast reconstruction
  • Immediate breast reconstruction
  • Ptosis
  • Skin-sparing mastectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Gentileschi, S., Bracaglia, R., Garganese, G., Gallucci, V., Corrado, G., Pacelli, F., & Scambia, G. (2013). Immediate definitive prosthetic reconstruction in patients with ptotic breasts. Annals of Plastic Surgery, 70(2), 144-148. https://doi.org/10.1097/SAP.0b013e3182367bfd

Immediate definitive prosthetic reconstruction in patients with ptotic breasts. / Gentileschi, Stefano; Bracaglia, Roberto; Garganese, Giorgia; Gallucci, Valeria; Corrado, Giacomo; Pacelli, Fabio; Scambia, Giovanni.

In: Annals of Plastic Surgery, Vol. 70, No. 2, 02.2013, p. 144-148.

Research output: Contribution to journalArticle

Gentileschi, S, Bracaglia, R, Garganese, G, Gallucci, V, Corrado, G, Pacelli, F & Scambia, G 2013, 'Immediate definitive prosthetic reconstruction in patients with ptotic breasts', Annals of Plastic Surgery, vol. 70, no. 2, pp. 144-148. https://doi.org/10.1097/SAP.0b013e3182367bfd
Gentileschi, Stefano ; Bracaglia, Roberto ; Garganese, Giorgia ; Gallucci, Valeria ; Corrado, Giacomo ; Pacelli, Fabio ; Scambia, Giovanni. / Immediate definitive prosthetic reconstruction in patients with ptotic breasts. In: Annals of Plastic Surgery. 2013 ; Vol. 70, No. 2. pp. 144-148.
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