J Plast Reconstr Aesthet Surg 2020 Mar 5;73(3):486-493. Epub 2019 Oct 5.
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia; Faculty of Medicine, University of Zagreb, Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital "Dubrava", Zagreb, Croatia.
"Direct to implant," "one-stage," or "immediate" breast reconstruction procedures have become extremely popular in the last decade. The additional task of covering the lower pole of the prosthetic implant for stability can be achieved by one of two principal methods: either the use of acellular dermal matrix (ADM) or alternatively by the use of autologous dermis (inferiorly based dermal flap). In 2013, we published a modification of the inferior pedicle technique for reduction mammaplasty with the principal goal of making a strong, durable, and internalized ``dermal cage'' fixed to the chest wall to support the remaining breast tissue and to prevent the long-term descent of the breast tissue through the effects of gravity. Read More