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March 21, 2026Plastic & Reconstructive Surgery1 citations

Outcomes after Wise-Pattern Mastectomy with the Inferior Dermal Flap in the Prepectoral Setting: A Systematic Review and Meta-Analysis

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TSThomas J. SorensonŁRŁukasz RomanowskiCBCarter J. Boyd

Key Points

  • This review aims to evaluate the outcomes of wise-pattern mastectomy using an inferior dermal flap for prepectoral reconstruction.
  • Conducted a systematic review and meta-analysis of existing literature
  • Focused on outcomes related to implant loss, infection rates, and complications
  • Emphasized the context of obese or ptotic patients
  • Reported low rates of implant loss and infections
  • Identified ischemic complications as the most common adverse event
  • Suggests the method safely expands reconstructive options for specific patient populations

Abstract

Wise-pattern prepectoral reconstruction with a dermal flap demonstrates low rates of implant loss and infection. Ischemic complications were the most frequent adverse events reported. This approach may safely expand reconstructive options for obese or ptotic patients, though higher-quality prospective data are needed.

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Cite This Study

Sorenson et al. (2026) studied this question.

synapsesocial.com/papers/69be36d46e48c4981c675fdfhttps://doi.org/10.1097/prs.0000000000013040
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Breast Implant Reconstruction in the Ptotic Patient: Evaluation of Wise and Vertical Skin Sparing Mastectomy2024 · 2 citations
  2. 2“Wise Pattern Skin-Sparing Mastectomy with Two-Stage Implant-Based Breast Reconstruction Among Patients with Breast Ptosis”2026
  3. 3Immediate Nipple Reconstruction in Skin-sparing Mastectomy with A Modified Wise-pattern Design2024
  4. 4The wide base bipedicled (WIBB) flap in nipple-sparing skin-reducing mastectomy2024 · 1 citations
  5. 5Grisotti versus Wise-Pattern Oncoplastic Reconstruction in Central Breast Cancer: A Randomized Controlled Study2026