Comment améliorer les reconstructions mammaires par prothèses ?

Prosthetic breast reconstruction is a simple procedure that has become a standard of care for breast reconstruction. The technique generally provides satisfactory results, although minor defaults requiring further correction may sometimes be detected. The present study is a systematic review of prosthetic breast reconstruction defaults, which we have classified in different categories: shape too round, disruption of inframammary fold, excessive firmness, wrinkling and rippling, and localized imperfections. Based on this analysis of physical signs, we propose surgical solutions adapted to the needs of each patient. Reconstruction with abdominal advancement flap an intrapectoral fat graft (lipomodeling) appear to be among the most significant current advances of prosthetic breast surgery. The skillful analysis of prosthetic reconstruction defaults will make it possible to contribute to enhancing the quality of prosthesis reconstruction, whereas improving both aesthetic outcome and patient satisfaction.