ArticleAesthetic plastic surgery2026
The Impact of Postmastectomy Radiation Therapy on Immediate Prepectoral Reconstruction with Polyurethane-Coated Implants.
Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Psychosocial Outcomes and Aesthetic Expectations in Female Patients Undergoing Body Contouring After GLP-1-Induced Weight Loss: A Prospective Pilot Comparative Study with Post-Bariatric Patients.Aesthetic plastic surgery · 2026Article
- Immediate Implant-Based Breast Reconstruction: Analysis of 787 Cases and Definition of Our Decision-Making Algorithm.Aesthetic plastic surgery · 2026Article
- Yin-Yang NAC sharing: Full-thickness split graft from a single NAC for bilateral immediate reconstruction after skin-reducing mastectomy.JPRAS open · 2026Article
- Comment on "The Impact of Postmastectomy Radiation Therapy on Immediate Prepectoral Reconstruction with Polyurethane-Coated Implants".Aesthetic plastic surgery · 2026Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreasingly popular, prepectoral breast reconstruction preserves the pectoralis major muscle's anatomy and function. Although polyurethane-coated implants in this context have yielded encouraging results, their interplay with postmastectomy radiation therapy (PMRT) is not well-documented, particularly considering PMRT's known adverse effects on implant-based reconstructions. The study aimed to evaluate the aesthetic outcomes and radiation therapy (RT) damage in patients undergoing prepectoral reconstruction with polyurethane-coated implants receiving PMRT, as well as the influence of mastectomy flap thickness on RT side effects.
methodsIn 47 patients receiving immediate breast reconstruction with prepectoral polyurethane-coated implants followed by PMRT, aesthetic results were assessed using the Likert scale, and RT damage was scored with the LENT-SOMA scale. The study retrospectively analyzed the impact of different RT techniques (3D vs. IMRT) and examined the correlation between mastectomy flap thickness and RT adverse effects.
resultsAt 12-month follow-up, the mean Likert score for patients treated with IMRT/VMAT was 13.06 (SD: 2.55) compared to 11.79 (SD: 2.37) for those treated with the 3D technique. LENT-SOMA scores were 1.46 (SD: 1.13) for IMRT/VMAT and 3.11 (SD: 1.41) for 3D. A negative linear correlation was found between mastectomy flap thickness and RT damage.
conclusionsPreliminary findings are favorable for the use of prepectoral polyurethane-coated implants in immediate breast reconstruction with PMRT, particularly when using IMRT and in patients with thicker mastectomy flaps. Level III, therapeutic study. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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