American Association of Plastic Surgeons Meeting 2022

Delayed-Immediate Breast Reconstruction in the Era of Pre-Pectoral Tissue Expanders: An Algorithmic Approach

Haripriya S. Ayyala, MD1; Jerette J. Schultz, MD2; Jeremy C. Sinkin, MD3; Emmeline Jia, BA3; Rose S. Maisner, BS2; Emily A. Van Kouwenberg, MD3; Shareef Jandali, MD4; Richard L. Agag, MD3

Introduction

The current trends toward pre-pectoral tissue expander placement and nipple sparing mastectomies have decreased morbidity and improved cosmetic outcomes for delayed immediate breast reconstruction. The authors aim to delineate an algorithm for patients undergoing autologous breast reconstruction.

Methods

•Single institution, prospectively maintained patient database

•Factors considered in surgical decision-making for reconstruction: type of mastectomy, incision pattern, plan for radiation, pre-operative breast volume and degree of ptosis

•Breast complication rates compared between immediate and delayed-immediate reconstruction groups

Conclusion

Pre-pectoral delayed-immediate breast reconstruction results in a decreased major breast complication rate, including mastectomy flap necrosis and nipple areolar complex necrosis, compared to immediate autologous breast reconstruction. This algorithm serves as a useful guideline for surgical decision making in autologous breast reconstruction.

American Association of Plastic Surgeons Meeting 2022

Delayed-immediate Breast Reconstruction In The Era Of Pre-pectoral Tissue Expanders: An Algorithmic Approach

Poster Presenter

Authors

Affiliations

Part of Topic