Gerald Gui* and Fiona J Tsang
Department of Academic Surgery, The Royal Marsden NHS Trust, UKFulltext PDF
Acellular Dermal Matrices (ADM) have revolutionized direct-to-implant breast reconstruction, particularly in the pre-pectoral approach, with reduced post-operative pain and early hospital discharge, lower analgesic requirements, limited muscle dysfunction and reduction in animation. We describe a ‘meshed enhanced hammock’ or ‘tent’ technique for recreating breasts with varying degrees of ptosis using a meshed biological ADM derived from fetal calf skin, with good aesthetic outcome, low complication risks and implant loss. This technique utilizes the tensile strength of a meshed ADM in a one-stage direct to fixed implant pre-pectoral breast reconstruction. The creation of ptosis to match the contralateral breast reduces the need for additional symmetrisation surgery and allows the formation of a more natural reconstructed breast.
Breast cancer; Breast reconstruction; Acellular dermal matrix; Breast implant; Direct to implant
Gui G, Tsang FJ. ‘Meshed Enhanced Hammock’ or ‘Tent’: A New Patient Centred Pre-Pectoral One-Stage Immediate Breast Reconstruction Technique for Varying Ptosis. Ann Plast Reconstr Surg. 2019;3(1):1026.