Once considered to have an unacceptable complication profile, prepectoral
breast reconstruction is increasing in popularity because of decreased
surgical invasiveness and postoperative pain and the absence of animation
deformity. Short-term outcomes studies comparing prepectoral breast reconstruction
to partially submuscular techniques demonstrate similarly acceptable
rates of postoperative complications. Aesthetic outcomes demonstrate
similar rates of capsular contracture but increased rippling and implant palpability
of the upper pole. Postoperative functional data are limited but overall
show decreased pain and more rapid return of function but equivalent satisfaction
on the BREAST-Q. Long-term aesthetic data and rates of revision are
After viewing this course, the participant should be able to:
- Describe the risks, benefits, and safety profile of prepectoral breast reconstruction.
- Have knowledge of primary immediate and delayed prepectoral
breast reconstruction techniques and secondary procedures required.
- Describe data on outcomes of prepectoral breast reconstruction.
Chris A. Campbell, M.D.; Albert Losken, M.D.
Plastic and Reconstruction Surgery®Editors: Editor-in-Chief: Rod J. Rohrich, MD
Co-Editor: James M. Stuzin, MD
Section Editors: Donald H. Lalonde, MD; John YS Kim, MD
AMA PRA Category 1 CreditTM: 1.0
Patient Safety Credit: 0.5
Media:Journal Article, video
Release Date: 09/01/2021
Expiration Date: 09/01/2024
Estimated time to complete this course: 1 hour
*Course access ends on course expiration date
Directly provided by the American Society of Plastic Surgeons® (ASPS®)
The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The ASPS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.Disclosures
Link to Current Disclosures
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