{
  "abstract": "Introduction: Oncoplastic breast reconstruction using implants or autologous tissue is increasingly popular for its aesthetic and psychological benefits without compromising oncologic safety. This study introduces a novel pre-pectoral implant technique combining a lower dermal sling with fascial flaps to enhance coverage and reduce complications.\n\nMaterials and Methods: This retrospective study included 82 patients (January 2020–January 2024). Inclusion required tumors >1 cm from the pectoralis muscle and patient preference. Exclusion criteria included inflammatory cancer, unstable medical conditions, and prior chest irradiation.\n\nResults: Of 82 patients (6 prophylactic, 76 therapeutic), 63 underwent nipple-sparing mastectomy. Pain scores were low (mean 2.1 ± 1.5). Severe rippling occurred in two cases; no implant loss or severe capsular contracture was observed at 1-year follow-up. BREAST-Q scores showed significant improvement in satisfaction and quality of life domains.\n\nConclusion: The combined dermal sling and fascial flap technique offers safe, cost-effective, and reliable autologous coverage for pre-pectoral implants with favorable outcomes and minimal complications.",
  "abstract_shown": true,
  "affiliations": [
    "Department of General Surgery, Faculty of Medicine, Menoufia University, Shibin Al Kom, Al Menoufia Governorate, Egypt."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mohamed K. Alhanafy"
    },
    {
      "affs": [
        0
      ],
      "name": "Alaa A. Elsisi"
    },
    {
      "affs": [
        0
      ],
      "name": "Ahmed S. Mashal"
    },
    {
      "affs": [
        0
      ],
      "name": "Abdallah S. Abdallah"
    },
    {
      "affs": [
        0
      ],
      "name": "Naglaa F. Amer"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohammed A. Etman"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dqqb0hk54t54z.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jpra.2025.11.036",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13731118/",
  "id": "dqqb0hk54t54z",
  "issns": [
    "2352-5878"
  ],
  "landing_url": "https://doi.org/10.1016/j.jpra.2025.11.036",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Article"
    ],
    [
      "openalex",
      "2746|Breast Implant and Reconstruction"
    ]
  ],
  "openalex": "W7204701300",
  "pdf_url": null,
  "pmcid": "PMC13731118",
  "pmid": "42984528",
  "published": "2026-08-30",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/dqqb0hk54t54z.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:21:22Z",
      "native_id": "PMC13731118",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.jpra.2025.11.036"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Breast Implant and Reconstruction",
      "subfield": "surgery"
    }
  ],
  "title": "Combined dermal sling and fascial flaps for autologous coverage of prepectoral implants: A new technique",
  "title_text": "Combined dermal sling and fascial flaps for autologous coverage of prepectoral implants: A new technique",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:21:22Z",
  "url": "https://research.draconitic.com/paper/dqqb0hk54t54z",
  "venue": "JPRAS Open",
  "versions": []
}