Over the Muscle Breast Reconstruction

Question

Is it possible to do a breast reconstruction with pre-pectoral/over the muscle implants on thinner women? I’m Australian based so would like to understand if it’s possible in Australia.

Ram Kalus, MD, FACS · Answer

Thank you for your question. The answer ultimately depends on your plastic surgeon's experience and preference. As a general statement, the state-of-the-art allows for pre-pectoral (above the muscle) direct to implant or expander placement int he immediate setting with coverage using ADM (acellular dermal matrix). In a thin patient there is a risk of the implant edge being more visible or apparent, and this can be corrected with future revision surgery using your own fat, known as "autologous fat injection" or "grafting",

Please make sure that your plastic surgeon is well versed in all breast reconstruction techniques and discuss all of your options with him or her. Best of luck to you.

Please make sure that your plastic surgeon is well versed in all breast reconstruction techniques and discuss all of your options with him or her. Best of luck to you.

Hilton Becker, MD · Answer

I routinely do pre -pectoral breast recnstruction
If the flaps re thin I  thicken them with fat grafting or mesh

Sevgi Kurt, MD - Account Suspended · Answer

Depends on your skin condition after mastectomy, if your skin is thin but healty and well vascularised after mastectomy, yes prepec reconstruction can be done. But you may need a fat transfer procedure after six months to cover the visible parts of the implant

Over the Muscle Breast Reconstruction

Answers (3)

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