
Breast reconstruction using synthetic film
Журнал: Пластическая хирургия и эстетическая медицина. 2026;(1):25-30.
DOI: 10.17116/plast.hirurgia202601125
Read: 1551 раз
Abstract
OBJECTIVE
To describe and validate breast reconstruction technique using implants and synthetic film.
MATERIAL AND METHODS
A prospective study included 50 patients diagnosed with breast cancer in 2022-2025. There were 74 simultaneous breast reconstructions using implants and synthetic film. The minimum follow-up period was 6 months. The complication rate and patient satisfaction with postoperative results were assessed using the BREAST-Q v. 2.0 questionnaire.
RESULTS
The overall complication rate was 36.5% (n=27 breasts). Of these, redo surgery was necessary in 5.4% (n=4 breasts) of cases. In 6 months after surgery, patients completed the BREAST-Q v. 2.0 Reconstruction Module questionnaire. The median score of satisfaction with breasts was 65±7.4 points.
CONCLUSION
Breast reconstruction using implant and synthetic film allows for restoration or reinforcement of inframammary fold, implant stabilization and minimization of complications, as well as higher patient satisfaction with postoperative results.
Keywords
- breast reconstruction
- implant
- synthetic film
Дата поступления: 18.03.2025
Дата принятия в печать: 20.05.2025
Дата публикации: 30.03.2026
- Hudson DA. The Role of the Inframammary Fold (IMF) in Aesthetic and Reconstructive Surgery: A Critical Analysis and Surgical Solution. Aesthetic Plastic Surgery. 2024 July;48(14):2663-2667. Epub 2023 Nov 13. PMID: 37957392; PMCID: PMC11282132. https://doi.org/10.1007/s00266-023-03729-w
- Bogetti P, Cravero L, Spagnoli G, Devalle L, Boriani F, Bocchiotti MA, Renditore S, Baglioni E. Aesthetic role of the surgically rebuilt inframammary fold for implant-based breast reconstruction after mastectomy. Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS. 2007;60(11): 1225-1232. Epub 2007 Feb 06. PMID: 17950185. https://doi.org/10.1016/j.bjps.2005.11.046
- Atiyeh B, Ibrahim A, Saba S, Karamanoukian R, Chahine F, Papazian N. The Inframammary Fold (IMF): A Poorly Appreciated Landmark in Prosthetic/Alloplastic Breast Aesthetic and Reconstructive Surgery-Personal Experience. Aesthetic Plastic Surgery. 2017 Aug;41(4):806-814. Epub 2017 Apr 03. PMID: 28374293. https://doi.org/10.1007/s00266-017-0854-7
- Pennisi VR. Making a definite inframammary fold under a reconstructed breast. Plastic and Reconstructive Surgery. 1977 Oct;60(4):523-525. PMID: 909961.. https://doi.org/10.1097/00006534-197710000-00004
- Ryan JJ. A lower thoracic advancement flap in breast reconstruction after mastectomy. Plastic and Reconstructive Surgery. 1982 Aug;70(2):153-160. PMID: 7100307. https://doi.org/10.1097/00006534-198208000-00004
- Kraft CT, Rendon JL, Koutz CA, Miller MJ. Inframammary Fold Reconstruction in the Previously Reconstructed Breast: A Comprehensive Review. Plastic and Reconstructive Surgery. 2019 Apr;143(4):1019-1029. PMID: 30730494. https://doi.org/10.1097/PRS.0000000000005427
- Graziano FD, Plotsker EL, Rubenstein RN, Haglich K, Stern CS, Matros E, Nelson JA. National Trends in Acellular Dermal Matrix Utilization in Immediate Breast Reconstruction. Plastic and Reconstructive Surgery. 2024 Jan 01;153(1):25e-36e. Epub 2023 Apr 25. PMID: 37092982; PMCID: PMC11305089. https://doi.org/10.1097/PRS.0000000000010575
- Logan Ellis H, Asaolu O, Nebo V, Kasem A. Biological and synthetic mesh use in breast reconstructive surgery: a literature review. World Journal of Surgical Oncology. 2016 Apr 21;14:121. PMID: 27102580; PMCID: PMC4839154. https://doi.org/10.1186/s12957-016-0874-9
- Choi Y-S, You H-J, Lee T-Y, Kim D-W. Comparing Complications of Biologic and Synthetic Mesh in Breast Reconstruction: A Systematic Review and Network Meta-Analysis. Archives of Plastic Surgery. 2023;50(1):3-9. https://doi.org/10.1055/a-1964-8181
- Shiroud Heidari B, Dodda JM, El-Khordagui LK, Focarete ML, Maroti P, Toth L, Pacilio S, El-Habashy SE, Boateng J, Catanzano O, Sahai N, Mou L, Zheng M. Emerging materials and technologies for advancing bioresorbable surgical meshes. Acta Biomaterialia. 2024 Aug;184:1-21. Epub 2024 June 13. PMID: 38879102. https://doi.org/10.1016/j.actbio.2024.06.012
- Vakis A, Koutentakis D, Karabetsos D, Kalostos G. Use of polytetrafluoroethylene dural substitute as adhesion preventive material during craniectomies. Clinical Neurology and Neurosurgery. 2006 Dec;108(8):798-802. Epub 2005 Dec 20. PMID: 16368186. https://doi.org/10.1016/j.clineuro.2005.11.026
- Patent No. RU2826344C1. Method of reconstructing inframammary fold. Kartasheva AF, Mishin AS, Okhotin VV, Gurchenkova EYu, Ganshin IB, Grishchenko SV. Application No. RU2023132444A dated August 12, 2023. Registration September 09, 2024. (In Russ.).
- Matousek SA, Corlett RJ, Ashton MW. Understanding the fascial supporting network of the breast: key ligamentous structures in breast augmentation and a proposed system of nomenclature. Plastic and Reconstructive Surgery. 2014 Feb;133(2):273-281. PMID: 24469163. https://doi.org/10.1097/01.prs.0000436798.20047.dc
- Rancati Ag, Rancati Al. Can we identify risky patients for NSM. In: Spear’s Surgery of the Breast: Principles and Art (Chapter 51). Wolters Kluwer; May 2020.
- Eichler C, Schulz C, Thangarajah F, Malter W, Warm M, Brunnert K. A Retrospective Head-to-head Comparison Between TiLoop Bra/TiMesh® and Seragyn® in 320 Cases of Reconstructive Breast Surgery. Anticancer Research. 2019 May;39(5):2599-2605. PMID: 31092458. https://doi.org/10.21873/anticanres.13383
- Dieterich M, Angres J, Stachs A, Glass A, Reimer T, Gerber B, Stubert J. Patient-Report Satisfaction and Health-Related Quality of Life in TiLOOP® Bra-Assisted or Implant-Based Breast Reconstruction Alone. Aesthetic Plastic Surgery. 2015 Aug;39(4):523-33. Epub 2015 June 18. PMID: 26085227. https://doi.org/10.1007/s00266-015-0520-x
- Baldelli I, Cardoni G, Franchelli S, Fregatti P, Friedman D, Pesce M, Ponte E, Santori G, Santi P. Implant-Based Breast Reconstruction Using a Polyester Mesh (Surgimesh-PET): A Retrospective Single-Center Study. Plastic and Reconstructive Surgery. 2016 June;137(6):931e-939e. PMID: 27219260. https://doi.org/10.1097/PRS.0000000000002180
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