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Prepectoral breast reconstruction with tissue expander covered by acellular dermal matrix: results and outcomes after the first 94 procedures

2024; Elsevier BV; Volume: 200; Linguagem: Inglês

10.1016/j.ejca.2024.113743

1879-0852

Marco Bernini, Dario Cassetti, Cinzia Tommasi, Ilaria Gaggelli, Gianfranco Gigliucci, L. Arlia, Federico Manetti, Icro Meattini, Lorenzo Livi, Viola Salvestrini, Luca Visani, G. Bicchierai, J. Nori Cucchiari, Diego De Benedetto, F. DiNaro, Simonetta Bianchi, Lorenzo Orzalesi,

Reconstructive Surgery and Microvascular Techniques

Background: Reconstructive options after conservative mastectomy, either skin-, nipple-sparing or skin reducing, entail a variety of safe methods to recreate the natural shape and aesthetics of the breast. Tissue expanders (TE) are usually placed in a retropectoral position. The purpose of this study is to evaluate the feasibility and safety of two-step reconstruction with TE in prepectoral position covered by acellular dermal matrix (ADM), thus taking advantage of a more prudent two-stage approach while still maintaining the benefits of a prepectoral reconstruction.