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Breast J. 2018 Mar;24(2):180-183. doi: 10.1111/tbj.12860. Epub 2017 Jul 13.

One-stage muscle-sparing breast reconstruction in elderly patients: A new tool for retaining excellent quality of life.

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Department of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy.


More than 50% of breast cancer care occurs in elderly but women aged 65 and over generally have lower breast reconstruction (BR) rates. In medical literature, few papers focused on BR in elderly patients and usually the reported techniques are multisteps such as expander-implant reconstruction, local, and free flaps. We present a one-stage reconstruction technique employed in elderly patients: muscle-sparing immediate BR with subcutaneous implant and Braxon acellular dermal matrix. We prove the feasibility and safety of the technique and believe that this new procedure could represent a potential benefit in elderly BR.


acellular dermal matrix; breast cancer; breast reconstruction; elderly patient; muscle-sparing technique; quality of life

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