title: Subpectoral breast reconstruction using the biodimensional system.
abstract: Increasing awareness among the general public has fuelled a demand for post-mastectomy breast reconstruction. However, owing to the limited number of plastic surgical centres this need is unlikely to be fulfilled in the near future. We report our early experience with a modified technique using a new subpectoral implant--the Biodimensional System. Seventeen consecutive patients underwent reconstruction (16 immediately) after mastectomy. In the group of patients having immediate reconstruction, the surgery was undertaken by the breast surgeon performing the primary procedure. This study demonstrates that an acceptable result can be obtained in the majority of patients and that it is possible for a breast surgeon to undertake primary reconstruction on selected patients using the Biodimensional System. It is hoped that this may aid patients in their physical and mental rehabilitation.
authors.affiliation: Academic Department of Surgery, Royal Marsden Hospital, London.
authors.forename: A J
authors.initials: AJ
authors.lastname: Hayes
authors.forename: M P
authors.initials: MP
authors.lastname: Jenkins
authors.forename: S S
authors.initials: SS
authors.lastname: Sandhu
authors.forename: M
authors.initials: M
authors.lastname: Baum
mesh_terms: D018427:Breast Implants; D001943:Breast Neoplasms / Q000601:surgery*; D004954:Esthetics; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000295:instrumentation / Q000379:methods* / Q000523:psychology; D008408:Mastectomy; D008875:Middle Aged; D017060:Patient Satisfaction; D018579:Patient Selection; D011183:Postoperative Complications; D015626:Tissue Expansion; D016896:Treatment Outcome