Combined dermal sling and fascial flaps for autologous coverage of prepectoral implants: A new technique
Year: 2026
Type: article
Abstract: Introduction: Oncoplastic breast reconstruction using implants or autologous tissue is increasingly popular for its aesthetic and psychological benefits without compromising oncologic safety. This study introduces a novel pre-pectoral implant technique combining a lower dermal sling with fascial flaps to enhance coverage and reduce complications. Materials and Methods: This retrospective study included 82 patients (January 2020-January 2024). Inclusion required tumors >1 cm from the pectoralis muscle and patient preference. Exclusion criteria included inflammatory cancer, unstable medical conditions, and prior chest irradiation. Results: Of 82 patients (6 prophylactic, 76 therapeutic), 63 underwent nipple-sparing mastectomy. Pain scores were low (mean 2.1 ± 1.5). Severe rippling occurred in two cases; no implant loss or severe capsular contracture was observed at 1-year follow-up. BREAST-Q scores showed significant improvement in satisfaction and quality of life domains. Conclusion: The combined dermal sling and fascial flap technique offers safe, cost-effective, and reliable autologous coverage for pre-pectoral implants with favorable outcomes and minimal complications.
Source: JPRAS Open
Institution: Menoufia University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,920
OpenAlex ID: W7204701300