Prepectoral Breast Reconstruction Current Trends and Techniques

Breast cancer is one of the most common forms of cancer worldwide, and surgery remains the mainstay of treatment. Breast reconstruction and Oncoplastic techniques have advanced over the last decade from complex autologous reconstruction to minimal invasive surgery. 

Breast reconstruction has evolved from traditional submuscular techniques to prepectoral implant-based reconstruction, thanks to advances in implantable biologic and synthetic products that make this muscle-sparing approach possible. In this state-of-the art volume, prominent clinicians and the pioneers of this technique join forces to provide the reader with a practical guide to prepectoral breast reconstruction, including relevant anatomical knowledge, key skills, and concrete tips for daily practice. After discussing the historical evolution of prepectoral breast reconstruction and providing an anatomical description of the superficial fascia system, the book presents the main approaches currently available, and addresses patient selection, radiation therapy, postoperative monitoring, and particular challenges such as revision surgery. Dedicated chapters on mesh scaffolds and autologous lipomodelling are also included. The book also features over 150 original full-color illustrations and drawings, together with take-home messages. With its complete yet handy format, Prepectoral Breast Reconstruction offers a valuable reference guide for residents, fellows, practicing breast surgeons, plastic surgeons, and all professionals in related sub-specialties.

Foreword.- Preface.- 1. History and Evolution of prepectoral breast reconstruction (Hilton Becker, USA).- 2 Anatomy of the Superficial Fascia System of the Breast. (Rehnke, Robert D, USA).- 3 Important Considerations for Performing Prepectoral Breast Reconstruction and in challenging patients (Hani Sbitany, USA).- 4Single stage complete cover with shaped mesh (Raghavan Vidya, UK).- 5 Two stage with tissue expander (Hilton Becker, USA).- 6 Prepectoral Anterior Coverage (G Jones, USA).- 7 Prepectoral using Synthetic mesh (D. Casella, Italy).- 8 Prepectoral skin reducing pattern (G.G. Caputo, Italy).- 9 Complications: how to reduce and manage them (J Masia, Spain).- 10 Prepectoral Breast Reconstruction Radiation Therapy (Rashmi Benda, USA).- 11 Revision surgery (G Berna, Italy).- 12 Lipomodelling (M. Nava, Italy).- 13 Breast Reconstruction Using a Three-Dimensional Absorbable Mesh Scaffold and Autologous Fat (Rehnke, Robert D, USA).

About the Authors:

Dr. Hilton Becker is an Adjunct Professor of Surgery at the Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida and serves as a voluntary faculty member at the Department of Plastic & Reconstructive Surgery at the Cleveland Clinic, Florida. Dr. Becker received his medical degree from the University of Witwatersrand Johannesburg, South Africa, where he completed his internship and residency in general surgery and plastic surgery. He was elected as a fellow of the Royal College of Surgeons, Edinburgh, Scotland before completing a second residency in plastic surgery at the Medical College of Virginia, USA. He has been engaged in plastic surgery practice since 1981 and is certified by the American Board of Plastic Surgery. A member of numerous regional and national medical societies (American Society of Plastic Reconstructive Surgeons, American Society for Aesthetic Plastic Surgery, American College of Surgeons, andthe Royal College of Surgeons-Edinburgh, the International Society of Aesthetic Plastic Surgery, and honorary member of the Association of Plastic Reconstructive Surgeons of Southern Africa), Dr. Becker also has extensive experience in surgical lecturing and teaching, and has published over 60 articles and chapters in surgical textbooks. He is a reviewer for the journal Plastic and Reconstructive Surgery, the Aesthetic Surgery Journal, and the European Journal of Plastic Surgery. He has developed several medical devices and holds several medical patents.

Dr Raghavan Vidya MS, MD, FRCS is a Senior lecturer at Birmingham University and Consultant Oncoplastic breast surgeon at the Royal Wolverhampton NHS Trust. She graduated from University of Madras, India followed by Postgraduate training in General Surgery. She completed her MD (Research) on aromatase inhibitors from University of Edinburgh and higher surgical training in Wessex and West Midlands. Dr Vidya is a faculty in several National and International meetings and has more than 120 peer-reviewed publications. She has introduced and mentored new innovations including muscle-sparing implant-based breast reconstruction. She produced the report of Future of Surgery of the Royal College of Surgeons as a National member of ABS Breast academic Group. She is the lead for the Royal College of Surgeons (RCS) International Surgical training programme (ISTP) in Breast Surgery. She is Associate Director of West Midlands, Genomic Medicine Service Alliance (GMSA). Dr Vidya has founded the Virtual Global Breast Hub, to bring together global experts on a single platform. She is actively involved in clinical trials and has a special interest in Oncoplastic Breast Surgery, new technology and advances in breast surgery. She is an active member of Association of Breast Surgery UK (ABS), European Society of Surgical Oncology (ESSO), Breast Surgery International (BSI), Asian and Indian Society ofBreast Surgery.