title: Skin-Reduction Breast Reconstructions with Prepectoral Implant.
abstract: Skin-reduction mastectomy with prepectoral implant reconstruction is a novel technique for immediate breast reconstruction, with subcutaneous implant placement in patients eligible for skin-reducing mastectomy. Implants were placed above the pectoralis muscles in a compound pocket made by a dermal flap and acellular dermal matrix. The procedure was performed on 33 breasts in 27 selected patients. In three cases, there was skin ischemia; in one case, it healed spontaneously; and in two patients, a surgical necrosectomy and primary closure were needed. No implant loss occurred. This new technique proved to be a useful alternative, with good cosmetic results, in selected patients requiring mastectomy. These preliminary results need to be confirmed by long-term and comparative studies.
  
  
  METHODS
  Therapeutic, IV.
authors.affiliation: Verona and Rome, Italy.|From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata; and the Department of Surgery, "Sapienza" University of Rome.
authors.forename: Glenda Giorgia
authors.initials: GG
authors.lastname: Caputo
authors.affiliation: Verona and Rome, Italy.|From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata; and the Department of Surgery, "Sapienza" University of Rome.
authors.forename: Alberto
authors.initials: A
authors.lastname: Marchetti
authors.affiliation: Verona and Rome, Italy.|From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata; and the Department of Surgery, "Sapienza" University of Rome.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Dalla Pozza
authors.affiliation: Verona and Rome, Italy.|From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata; and the Department of Surgery, "Sapienza" University of Rome.
authors.forename: Enrico
authors.initials: E
authors.lastname: Vigato
authors.affiliation: Verona and Rome, Italy.|From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata; and the Department of Surgery, "Sapienza" University of Rome.
authors.forename: Lavinia
authors.initials: L
authors.lastname: Domenici
authors.affiliation: Verona and Rome, Italy.|From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata; and the Department of Surgery, "Sapienza" University of Rome.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Cigna
authors.affiliation: Verona and Rome, Italy.|From the Department of Plastic and Reconstructive Surgery, Azienda Ospedaliera Universitaria Integrata; and the Department of Surgery, "Sapienza" University of Rome.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Governa
mesh_terms: D062088:Acellular Dermis; D000328:Adult; D000368:Aged; D018427:Breast Implants; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods*; D008875:Middle Aged; D009558:Nipples / Q000601:surgery; D010369:Pectoralis Muscles / Q000637:transplantation*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome