ArticleWorld journal of plastic surgery2019
Rippling Associated with Pre-Pectoral Implant Based Breast Reconstruction: A New Grading System.
Article in World journal of plastic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Direct-to-Implant Subcutaneous Breast Reconstruction: A Systematic Review of Complications and Patient's Quality of Life.Aesthetic plastic surgery · 2023Pooled it
- Trial
- Practice patterns in prepectoral implant-based breast reconstruction: A survey of UK plastic surgeons.JPRAS open · 2026Article
- Pocket Conversion from Prepectoral to Retropectoral Implant Placement in Breast Reconstruction: A Cost-effective Solution for High-Grade Rippling and Implant Visibility.Aesthetic plastic surgery · 2026Article
- A New Way to Wrap: Innovative ADM Braxon Packaging Technique Reduces Seroma in Prepectoral Breast Reconstruction.Journal of clinical medicine · 2025Article
- Prepectoral Breast Reconstruction: Early and Long-Term Complications and Outcomes of Total Coverage Acellular Dermal Matrix and Implants Vs Polyurethane-Coated Implants Without Use of Acellular Dermal Matrix.Aesthetic surgery journal · 2025Article
- Outcome of Prepectoral Direct-to-Implant Breast Reconstruction With the Poly-4-hydroxybutyrate Wrap.Plastic and reconstructive surgery. Global open · 2025Article
- Enhancing Breast Reconstruction with Bovine Pericardium: A Preliminary STEP (Surgical Techniques and Efficacy in Pericardium Use) Towards Improved Outcomes.Journal of clinical medicine · 2025Article
- Advocating for optimal surgical approaches in prepectoral implant breast reconstruction.Gland surgery · 2025Article
- A Comparative Study of One-Stage Pre-pectoral Implant Breast Reconstruction With and Without Mesh.Cureus · 2024Article
- Article
- Prepectoral Breast Reconstruction with Prosthesis and Acellular Dermal Matrix: A New Technique of ADM Implantation and Fixation.Plastic and reconstructive surgery. Global open · 2024Article
- The Impact of Breast Implant Cohesivity on Rippling and Revision Procedures in 2-Stage Prepectoral Breast Reconstruction.Aesthetic surgery journal. Open forum · 2024Article
- Autologous coverage for direct-to-implant pre-pectoral reconstruction in large and ptotic breasts: a new technique.Case reports in plastic surgery & hand surgery · 2024Article
- Technical Tips to Reduce Implant Rippling in Staged Pre-pectoral Breast Reconstruction.Aesthetic plastic surgery · 2023Review
- Optimizing Acellular Dermal Matrix Integration in Heterologous Breast Reconstructive Surgery: Surgical Tips and Post-Operative Management.Medicina (Kaunas, Lithuania) · 2023Article
- One-Stage Immediate Alloplastic Breast Reconstruction in Large and Ptotic Breasts: An Institutional Algorithm.Journal of clinical medicine · 2023Article
- Cost analysis of pre-pectoral implant-based breast reconstruction.Scientific reports · 2022Article
- Review of Autologous Fat Grafting in Postmastectomy Reconstruction Patients: Nonroutine Diagnostics and Oncologic Safety.Plastic and reconstructive surgery. Global open · 2022Article
- Evaluation of Breast Animation Deformity following Pre- and Subpectoral Direct-to-Implant Breast Reconstruction: A Randomized Controlled Trial.Archives of plastic surgery · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe incidence of breast cancer and immediate breast reconstruction is on the rise particularly in the US and Western Europe. Over the last decade, implant based breast reconstructions have gained popularity. The prepectoral breast reconstruction has emerged as a novel technique, minimally invasive, preserves the chest wall anatomy while restoring body image. However, implant rippling appears to be an adverse effect associated with this technique.
methodsWe have described a new grading system for rippling following prepectoral implant breast reconstruction and discussed its management. We then evaluated the new grading system in our practice.
resultsWe looked at the first 50 consecutive patients who underwent prepectoral implant based breast reconstruction. In our experience, 45 patients (90%) had grade 1, 3 patients (6%) had grade 2, 1 patient (2%) had grade 3 and 1 patient (2%) had grade 4 rippling. The observed rippling was seen more often in patients with low BMI<20 and in those who had poor subcutaneous fat preoperatively (pinch test<2 cm).
conclusionPrepectoral implant based breast reconstruction adds a whole new dimension to breast reconstruction. However rippling can be an undesired adverse effect associated with this technique and patients need to be informed.
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