Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix

Background:. The inverted T (Wise pattern) mastectomy for patients with macromastia or significant breast ptosis has evolved along with generalized techniques for breast reconstruction. We present a review of Wise pattern breast reconstruction along with our technique for direct to implant reconstru...

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Main Authors: Harold I. Friedman, MD, PhD, Sarah Talebagha, MD, Jarom Gilstrap, MD, Mirsad Mujadzic, MD, Elliott Chen, MD
Format: Article
Language:English
Published: Wolters Kluwer 2019-10-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002439
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author Harold I. Friedman, MD, PhD
Sarah Talebagha, MD
Jarom Gilstrap, MD
Mirsad Mujadzic, MD
Elliott Chen, MD
author_facet Harold I. Friedman, MD, PhD
Sarah Talebagha, MD
Jarom Gilstrap, MD
Mirsad Mujadzic, MD
Elliott Chen, MD
author_sort Harold I. Friedman, MD, PhD
collection DOAJ
description Background:. The inverted T (Wise pattern) mastectomy for patients with macromastia or significant breast ptosis has evolved along with generalized techniques for breast reconstruction. We present a review of Wise pattern breast reconstruction along with our technique for direct to implant reconstruction using dermal matrix. Methods:. The literature was reviewed and an analysis of techniques and complications was performed. We present our series of patients incorporating dermal matrix and relatively large implants in direct to implant reconstruction. Results:. Of 18 breasts reconstructed only 2 failed. One caused by flap necrosis secondary to smoking and one as a result of preoperative radiation. Conclusion:. Wise pattern breast reconstruction using relatively large implants and dermal matrix in direct to implant reconstruction is a safe technique in selected patients with macromastia.
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spelling doaj.art-b0313fa0a8e7498b877624e577e568b72022-12-21T19:53:34ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-10-01710e243910.1097/GOX.0000000000002439201910000-00010Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal MatrixHarold I. Friedman, MD, PhD0Sarah Talebagha, MD1Jarom Gilstrap, MD2Mirsad Mujadzic, MD3Elliott Chen, MD4From the *The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.†Prisma Health Midlands/University of South Carolina School of Medicine, Columbia, S.C.From the *The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.From the *The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.From the *The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.Background:. The inverted T (Wise pattern) mastectomy for patients with macromastia or significant breast ptosis has evolved along with generalized techniques for breast reconstruction. We present a review of Wise pattern breast reconstruction along with our technique for direct to implant reconstruction using dermal matrix. Methods:. The literature was reviewed and an analysis of techniques and complications was performed. We present our series of patients incorporating dermal matrix and relatively large implants in direct to implant reconstruction. Results:. Of 18 breasts reconstructed only 2 failed. One caused by flap necrosis secondary to smoking and one as a result of preoperative radiation. Conclusion:. Wise pattern breast reconstruction using relatively large implants and dermal matrix in direct to implant reconstruction is a safe technique in selected patients with macromastia.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002439
spellingShingle Harold I. Friedman, MD, PhD
Sarah Talebagha, MD
Jarom Gilstrap, MD
Mirsad Mujadzic, MD
Elliott Chen, MD
Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix
Plastic and Reconstructive Surgery, Global Open
title Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix
title_full Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix
title_fullStr Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix
title_full_unstemmed Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix
title_short Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix
title_sort wise pattern direct implant breast reconstruction a review and improved outcomes using dermal matrix
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002439
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