Prepectoral Breast Reconstruction | Journal CME Article-Wise pattern. Video 2 from “Pre-pectoral Breast Reconstruction” January 2025

Wise pattern. Video 2 from “Pre-pectoral Breast Reconstruction” January 2025 – 155 (1) CME

Video Transcription

Video Summary

The patient is undergoing bilateral skin-sparing mastectomy for breast cancer reconstruction, aiming for a smaller, less protruding appearance. Surgical markings indicate the inframammary fold, breast meridian, and anticipated nipple location. The process includes skin deepthelialization, mastectomy completion, and positioning a tissue expander, secured with vicryl mesh to the chest wall. Adjustments ensure proper fit and prevent lateral migration. A drain is placed before closing the incision snugly. Finally, the expander is filled with saline, and the procedure concludes with a successfully completed reconstruction, as demonstrated by a similar previous case.

Keywords

bilateral mastectomy

breast reconstruction

tissue expander

skin-sparing

surgical markings