Short- to Medium-term Outcome of Prepectoral versus Subpectoral Direct-to-implant Reconstruction using Acellular Dermal Matrix.

17 – 20 However, there is an increasing trend in prepectoral DTI reconstruction, with reports of favorable outcomes. 21 , 22 Present mastectomy techniques enable the surgeon to preserve all (NSM) or almost all of the mastectomy skin (skin sparing mastectomy), thus enabling the surgeon to insert a similar or even larger sized implant than the original breast volume. 15 Breast being a prepectoral structure, implant reconstruction with ADM in the prepectoral pocket should allow complete implant coverage with excellent aesthetic outcomes.

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