ArticlePlastic and reconstructive surgery. Global open2020
The Prepectoral, Hybrid Breast Reconstruction: The Synergy of Lipofilling and Breast Implants.
Article in Plastic and reconstructive surgery. Global open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Reverse Expansion Technique for Total Autologous and Hybrid Breast Reconstruction: A Systematic Review and a Meta-analysis.Aesthetic plastic surgery · 2026Pooled it
- Outcomes in Hybrid Breast Reconstruction: A Systematic Review.Medicina (Kaunas, Lithuania) · 2022Pooled it
- Oncological Safety of Autologous Fat Grafting in Breast Reconstruction: A Meta-analysis Based on Matched Cohort Studies.Aesthetic plastic surgery · 2022Pooled it
- Enhancing Cleavage Aesthetics in Patients Seeking Breast Augmentation: Surgical Technique and Key Considerations.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2026Article
- Hybrid Breast Reconstruction Revisited: Patient-Reported Outcomes Following Fat Grafting.Journal of clinical medicine · 2026Article
- Revolutionizing Breast Reconstruction: The Rise of Hybrid Techniques.Medicina (Kaunas, Lithuania) · 2025Review
- Exploring the Role of Autologous Fat Grafting in Implant-Based Breast Reconstruction: A Systematic Review of Complications and Aesthetic Results.Journal of clinical medicine · 2025Review
- Reply to Comment to: Tuberous Breast Associated with Chest Wall Deformity: A Challenging Planning for Breast Augmentation.Aesthetic plastic surgery · 2025Article
- Repeated Autologous Fat Grafting Significantly Increases Mastectomy Flap Thickness in Pre-Pectoral Multi-Stage Composite Expander-to-Implant Breast Reconstruction: Exploring the Concept of a Reverse Expansion.Journal of clinical medicine · 2025Article
- Review
- Updates on Breast Reconstruction: Surgical Techniques, Challenges, and Future Directions.World journal of oncology · 2024Review
- A Comparative Study of One-Stage Pre-pectoral Implant Breast Reconstruction With and Without Mesh.Cureus · 2024Article
- The Effects of Systemic Tranexamic Acid Administration on Drainage Volume, Duration of Drain Placement, and Length of Hospital Stay in Skin- and Nipple-Sparing Mastectomies with Immediate Expander-Based Breast Reconstruction.Journal of clinical medicine · 2024Article
- Smooth Operator: Nanotextured Breast Tissue Expanders Are Associated with Lower Rates of Capsular Contracture.Journal of clinical medicine · 2024Article
- The Influence of Inset and Shaping of Abdominal-Based Free Flap Breast Reconstruction on Patient-Reported Aesthetic Outcome Scores-A Systematic Review.Journal of clinical medicine · 2024Review
- Current Global Trends in Prepectoral Breast Reconstruction.Medicina (Kaunas, Lithuania) · 2024Review
- Technical Tips to Reduce Implant Rippling in Staged Pre-pectoral Breast Reconstruction.Aesthetic plastic surgery · 2023Review
- Simultaneous Fat Grafting During Tissue Expander-to-Implant Exchange: A Propensity Score-Matched Analysis.Aesthetic plastic surgery · 2023Article
- Comparative Analysis of a New Automatic System and Four Existing Techniques for Autologous Fat Grafting.Plastic and reconstructive surgery. Global open · 2023Article
- MRI-Conditional Breast Tissue Expander: First In-Human Multi-Case Assessment of MRI-Related Complications and Image Quality.Journal of clinical medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Breast reconstruction modalities are based on autologous tissue transfer, implants, or a combination of both. The aim of an allogeneic breast reconstruction is to minimize the impact of the implant on surrounding tissues to achieve an aesthetically pleasing result. Accurate tissue coverage, proper implant selection, and implant location are the absolute concerns in planning an implant-based reconstruction.
methodsA single surgeon's experience with the ergonomic, hybrid approach in primary and secondary breast reconstructions is presented. The hybrid approach is based on tissue expansion followed by serial sessions of fat grafting to augment the residual autologous (subcutaneous) compartment. The last step included the insertion of a prepectoral, ergonomic implant to obtain central core projection and additional volume.
resultsFifty-six hybrid breast reconstructions were performed with a mean follow-up of 24.1 months. Aesthetic outcomes and patient satisfaction have been good with pleasing breast projection, natural breast motion, and optimal coverage of the prepectoral implants.
conclusionsThe hybrid reconstructive approach is a reliable technique to improve the outcomes in implant-based breast reconstructions. The 2-step, prepectoral approach with expander-to-implant exchange allows better control of the final breast shape, and complications related to submuscular approaches are avoided. Fat grafting adds an autologous benefit to obtain natural results.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.