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Author Notes:

Correspondence: Alexandra M. Hart, MD, Division of Plastic Surgery, Emory University School of Medicine, 550 Peachtree St NE, Suite 9000, Atlanta, GA 30308, E-mail: alexandra.hart@emory.edu

Disclosures: Drs. Liu and Losken are speakers for RTI surgical. Neither of the other authors has any financial disclosures.


Research Funding:

None declared


  • Surgery
  • Plastic surgery
  • Breast reconstruction
  • Prosthetic
  • Mastectomy
  • Cancer treatment

Surgical Outcomes in Prepectoral Breast Reconstruction


Journal Title:

Plastic and Reconstructive Surgery - Global Open


Volume 8, Number 4


, Pages e2744-e2744

Type of Work:

Article | Final Publisher PDF


Background: Prepectoral breast reconstruction has reemerged as a popular option for prosthetic-based breast reconstruction. Recent published literature highlights good outcomes; however, techniques are evolving and options exist for different technologies. The aim of this study is to evaluate short-term complication rates of prepectoral reconstructions using Cortiva acellular dermal matrix. Methods: A multicenter retrospective study was conducted of all patients who underwent mastectomy with immediate direct-to-implant or 2-stage prepectoral breast reconstruction with Cortiva (RTI Surgical, Alachua, Fla.) between January 2016 and September 2018. The incidence of surgical complications was determined and studied against patient demographics and procedural details. Results: One-hundred eighteen patients met the inclusion criteria for a total of 183 individual breasts reconstructed with prepectoral implant. Average length of follow-up was 9.26 months (range, 1.0 month to 2.5 years). Thirty-two breasts (17.49%) experienced 1 or more complications. Prepectoral reconstruction was successful 89.07% of the time. Infection was the most common cause of both reoperation and implant failure, with 7.65% of all breasts requiring washout and 5.46% failing prosthetic reconstruction secondary to infection. Conclusions: Surgical outcomes for prepectoral breast reconstruction using 2-stage and direct-to-implant are similar and comparable to the literature for dual-plane reconstruction, with infection being the main cause of failure.

Copyright information:

© 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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