Prepectoral vs. Subpectoral Breast Reconstruction: What’s the Difference?

Patient preparing for reconstructive breast procedure

Breast reconstruction is a highly individualized process, and understanding the available techniques helps patients make informed decisions about their care. At Constructive Plastic Surgery in Garden City, NY, patients receive guidance and support when choosing between prepectoral and subpectoral implant placement after mastectomy.

How Implant Placement Differs

The significant distinction between these methods lies in the positioning of the implant. The implant sits under the pectoralis major muscle in subpectoral reconstruction. This technique has been used for more than a decade and offers reliable cover and support for the implant. Some patients develop muscle movement over the top of the implant, commonly referred to as animation deformity, when exercising or performing certain upper-body activities.

In prepectoral reconstruction, the implant is positioned above the chest muscle, directly beneath the skin and remaining tissue, supported by biologic mesh. This method spares the muscle, avoids animation deformity, and may decrease discomfort during recovery. Candidates usually need adequate skin quality and blood supply to safely support the implant.

Benefits and Considerations

Each of these methods has its advantages, depending on the anatomy of the patient, their surgical history, and personal aims. Subpectoral placement can provide additional soft tissue coverage for the implant, which may be ideal in individuals with thinner tissue after mastectomy. Prepectoral reconstruction can shorten the recovery period, reduce pain, and improve comfort during physical activity, especially for active patients wanting to avoid muscle disruption.

A consultation ensures decisions are made with a full understanding of what is possible. Every reconstruction plan at Constructive Plastic Surgery is tailored, taking into account scarring and previous treatments, desired results, and long-term comfort.

Personalized Reconstruction in Garden City

Breast reconstruction is more than a surgical procedure; it’s a step toward feeling whole and confident after breast cancer treatment. At Constructive Plastic Surgery in Garden City, NY, patients work closely with their surgeon to choose the approach that best supports their goals and lifestyle.

To learn more about prepectoral and subpectoral reconstruction options, call (516) 742-3404 to schedule a consultation.

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