Combined dermal sling and fascial flaps for autologous coverage of prepectoral implants: A new technique
- 1Department of General Surgery, Faculty of Medicine, Menoufia University, Shibin Al Kom, Al Menoufia Governorate, Egypt.
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.
Materials 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.
Results: 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.
Conclusion: 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.
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BibTeX
@article{alhanafy2026combined,
title = {{Combined dermal sling and fascial flaps for autologous coverage of prepectoral implants: A new technique}},
author = {Mohamed K. Alhanafy and Alaa A. Elsisi and Ahmed S. Mashal and Abdallah S. Abdallah and Naglaa F. Amer and Mohammed A. Etman},
journal = {JPRAS Open},
year = {2026},
month = aug,
doi = {10.1016/j.jpra.2025.11.036},
url = {https://doi.org/10.1016/j.jpra.2025.11.036},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - Combined dermal sling and fascial flaps for autologous coverage of prepectoral implants: A new technique
AU - Mohamed K. Alhanafy
AU - Alaa A. Elsisi
AU - Ahmed S. Mashal
AU - Abdallah S. Abdallah
AU - Naglaa F. Amer
AU - Mohammed A. Etman
PY - 2026
DA - 2026/08/30
JO - JPRAS Open
DO - 10.1016/j.jpra.2025.11.036
UR - https://doi.org/10.1016/j.jpra.2025.11.036
AB - 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. Materials 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. Results: 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. Conclusion: 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.
SN - 2352-5878
ER -