Abstract
Acellular dermal matrix and similar meshes are used in breast reconstruction to cover the inferior implant pocket. We considered whether using a modified dual-plane technique in immediate breast reconstruction could improve the outcome when compared with mesh reconstruction. The paper presents a case of a patient who underwent one-stage bilateral immediate breast reconstruction (IBR) with 470 g implants, using alloplastic mesh in one side and the composed dual-plane pocket in the other. In the case described, the composed dual plane technique gave a better result in terms of absence of rippling and smoother surface at the palpation; the mesh coverage gave a better inframammary contour. Our case suggests that the modified dual-plane technique gives a satisfactory cosmetic outcome. It also reduces costs and avoids mesh-related complications. This technique should therefore be considered as an option to the mesh in implant-based breast reconstruction.
Highlights
Contributions: ER, JO and MN performed the surgical operations
Acellular dermal matrix and similar meshes ly are used in breast reconstruction to cover the inferior implant pocket
We considered n whether using a modified dual-plane techo nique in immediate breast reconstruction could improve the outcome when compared e with mesh reconstruction
Summary
2013 Licensee PAGEPress, Italy Surgical Techniques Development 2013; 3:e1 doi:10.4081/std.2013.e1 undergoing one-stage bilateral IBR using alloplastic mesh and a dual-plane pocket for the implant cover. This case is unique as it compares two different methods used to obtain the same immediate result
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